Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. South Derbyshire Online Community Forum Feedback Thank you for taking the time to complete this survey. Your feedback will help us to improve our Community Forums. There are 11 questions, all optional and it should only take around 5-10 minutes to complete. OK Question Title * 1. About you Name Email Address Phone Number OK Question Title * 2. What organisation(s) do you represent? Organisation 1 Organisation 2 Organisation 3 OK Question Title * 3. Do you relate to any additional local organisation(s)? OK Question Title * 4. Which area(s) are supported by this/these organisation(s)? Please select all that apply. Organisation 1 Organisation 2 Organisation 3 Additional local organisation(s) Derbyshire wide Derbyshire wide Organisation 1 Derbyshire wide Organisation 2 Derbyshire wide Organisation 3 Derbyshire wide Additional local organisation(s) South Derbyshire wide South Derbyshire wide Organisation 1 South Derbyshire wide Organisation 2 South Derbyshire wide Organisation 3 South Derbyshire wide Additional local organisation(s) Aston Aston Organisation 1 Aston Organisation 2 Aston Organisation 3 Aston Additional local organisation(s) Church Gresley Church Gresley Organisation 1 Church Gresley Organisation 2 Church Gresley Organisation 3 Church Gresley Additional local organisation(s) Etwall Etwall Organisation 1 Etwall Organisation 2 Etwall Organisation 3 Etwall Additional local organisation(s) Hatton Hatton Organisation 1 Hatton Organisation 2 Hatton Organisation 3 Hatton Additional local organisation(s) Hilton Hilton Organisation 1 Hilton Organisation 2 Hilton Organisation 3 Hilton Additional local organisation(s) Linton Linton Organisation 1 Linton Organisation 2 Linton Organisation 3 Linton Additional local organisation(s) Melbourne Melbourne Organisation 1 Melbourne Organisation 2 Melbourne Organisation 3 Melbourne Additional local organisation(s) Midway Midway Organisation 1 Midway Organisation 2 Midway Organisation 3 Midway Additional local organisation(s) Newhall and Stanton Newhall and Stanton Organisation 1 Newhall and Stanton Organisation 2 Newhall and Stanton Organisation 3 Newhall and Stanton Additional local organisation(s) Repton Repton Organisation 1 Repton Organisation 2 Repton Organisation 3 Repton Additional local organisation(s) Seales Seales Organisation 1 Seales Organisation 2 Seales Organisation 3 Seales Additional local organisation(s) Stenson Stenson Organisation 1 Stenson Organisation 2 Stenson Organisation 3 Stenson Additional local organisation(s) Swadlincote Swadlincote Organisation 1 Swadlincote Organisation 2 Swadlincote Organisation 3 Swadlincote Additional local organisation(s) Willington and Findern Willington and Findern Organisation 1 Willington and Findern Organisation 2 Willington and Findern Organisation 3 Willington and Findern Additional local organisation(s) Woodville Woodville Organisation 1 Woodville Organisation 2 Woodville Organisation 3 Woodville Additional local organisation(s) Other (please specify) OK Question Title * 5. Have you attended any of our Online Community Forums? Yes No If not, please tell us why OK Question Title * 6. Is there anything we could change to make the online forums work better for you or your organisation? OK Question Title * 7. Is there anything you would like to offer the online forums? OK Question Title * 8. If you have attended one of our online forums, what did you gain? OK Question Title * 9. If you have attended one of our online forums, is there anything you think worked particularly well and that we should keep in future? OK Question Title * 10. Is there anything you think we need more of at future forums? OK Question Title * 11. Any other comments? OK DONE
