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* 1. I am:

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* 2. Please state the ages of your children

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* 3. What is your personal view on the standard of local primary education?

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* 4. What is your personal view on the standard of local secondary education?

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* 5. Are there any issues that you would like Matrix Academy Trust to consider when planning the new school:

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* 6. Are there any suggestions you would have for the use of a new school in Nuneaton as a community resource?

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* 7. Personal Details Section:

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* 8. I would like to be kept updated with the school's progress via email:

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