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* 1. Do you live or work in Basildon Borough?

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* 2. Please state your postcode:

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* 3. What is your age?

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* 4. In the last 12 months how many times have you engaged with cultural activity?

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* 5. Where would you go to experience art and culture? (please tick all that apply)

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* 6. Are you inspired by art and culture?

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* 7. How important do you think art and culture is to society?

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* 8. How important is art and culture to you personally?

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* 9. How proud are you of Basildon town centre?

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* 10. What do you think culture is? (please tick all that apply)

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* 11. What current issues are important to you? (please tick top three)

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* 12. Why are these current issues important to you? (please specify)

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* 13. What type of cultural activity would you participate in if it took place in Basildon? (please tick all that apply)

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* 14. The BasildON Creative People and Places programme is all about local people driving the decision making and direction of the programme. What level of input could you give? (please tick all that apply)

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* 15. How would you like to hear about BasildON Creative People and Places programme? (please tick all that apply)

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* 16. Please provide an email address if you wish to receive email updates about the Basildon Creative People and Places Programme!

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