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* 1. Do you live in or around Tewkesbury

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* 2. How would you rate Tewkesbury as a place for you to live today

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* 3. Why did you choose that rating?

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* 4. What would make it better?

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* 5. How do you feel if someone asks your age?

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* 6. Is your social life as full and active as you would like it to be?

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* 7. What things do you currently do locally?

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* 8. What things would you like to do?

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* 9. What stops you doing the things you'd like to do?

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* 10. Please tell us which age bracket you fall into.

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* 11. What else would you like to tell us?

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* 12. We'd like to understand how you feel about getting older.  Which ONE of these statements best describes the way you feel?

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* 13. We'd love to let you know what we find out and how our plans are developing.  Are you happy for us to be in touch with updates, free copies of our publications, news, what's happening in your community and ways to get involved or support Age UK Gloucestershire?

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* 14. Please provide your contact details

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* 15. I'm happy to be contacted by: (tick all that apply)

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