* 1. Would you like to be in with a chance to win a £20 voucher for Leisure services? Please fill in the following details:

* 2. Which leisure centre is closest to you?

* 3. Why do you not use it?

* 4. Are there any programmes or activities that would encourage you to use the centre?

* 5. Are there any facilities that would encourage you to use the centre?

* 6. Are there any other changes that could be made to encourage you to use the centre?

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