* 1. Your Postcode?

* 2. House Number?

* 3. How many people currently live in your household? Please state how many people living in your household fall in to the age ranges below.

* 4. Do you think that Ellistown & Battleflat would benefit from improved recreation and leisure facilities?

* 5. The Parish Council has limited resources and would like you to indicate where you think we should target those resources. What facilities, activities and improvements would you and your household like to see? Select all that apply.

* 6. Please add any other comments, suggestions or thoughts below regarding what you would like in Ellistown & Battleflat.