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* 1. Please tell us how you are involved in Jigsaw
Jigsaw logo

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* 2. I live in ......

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* 3. At the moment I take part in the following activities (check all that apply)

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* 4. Activities I would like to try are .... (check all that apply)

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* 5. The best times for activities would be .... (check all that apply)

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* 6. I can afford to pay the following amount for an activity

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* 7. I would like to go on a weekend break with Jigsaw 

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* 8. Would you be interested in a weekly art and craft session? (please check all the times you are available)

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* 9. Would you be interested in a weekly fitness and exercise session? (please check all the times you are available) 

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* 10. What do you want to see on the Jigsaw Facebook page? (check all that apply)

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