1) Postcode of where you live
*
2) Your age
*
3) Thinking about people you know living in Christchurch, which of the problems below concern you most? (choose 1)
4) Are there any other issues / problems for people living in Christchurch? Please explain;
*
5) In your opinion, which two groups listed below are most affected by the problems identified above?
*
6) What is needed to overcome these problems? (Choose top 3 answers)
7) Are there any other possible solutions not listed above; please specify:

8) Would you be willing to pay towards this support?
*
9 ) Are you aware of: (tick all that apply)
Yes
No
Christchurch Community Partnership (CCP)
Yes
No
Christchurch Angels
Yes
No
Neighbour Cars
Yes
No
Dial a Bus
Yes
No
Meal Cards
Yes
No
10) Would you be interested in finding out about local volunteering opportunities?
Do you have any other comments?