Report an issue that is unfairly affecting you, your family or the local community. The information you provide will help us identify common problems in the area. The questions in this survey are optional, but the more detail you provide, the better we will be able understand the issue and its impact.

Please note: we cannot provide advice in response to this survey. If you require advice please phone 0300 330 1176.

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* 1. Do you live in Burnley or Pendle?

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* 2. What does this problem relate to? (Choose all that apply)

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* 3. What happened/what is the problem?

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* 4. What is the impact of this problem?

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* 5. How do you think this problem could be solved?

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