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* 1. In which local authority is your building based?

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* 2. Name of your community building

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* 3. Post code of your building

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* 4. Main contact:

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* 5. How much have your energy costs increased compared to this time last year (approximately)?

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* 6. How much do you anticipate your energy costs increasing over the coming winter (approximately)?

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* 7. How is this affecting or likely to affect your hall? Please select any options that apply.

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* 8. Would you consider operating as part of a network of warm welcoming space over the winter months (Oct-Mar)?

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* 9. Are you already hosting / running events and activities to help support your community over the winter?

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* 10. Would you consider hosting additional events / activities to support your community over the winter?

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* 11. If you would consider operating as a warm welcoming space / hosting additional events and activities, what support and resources would you need?

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* 12. Any other comments:

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