Surbiton Neighbourhood Questionnaire

Questionnaire

1. What are the top 3 issues in your Neighbourhood?

Please give details for Q1  

2. Do you have any ideas for improvements in your Neighbourhood? (eg activities for children & young people, wider range of shops etc)

Please give details for Q2  

3. Do you get involved in community or voluntary activities in your Neighbourhood? (eg are you a member of a residents association, in bloom group, voluntary organisation etc)

Please give details for Q3  

4. Do you feel satisfied with access to services (schools, Police, health care etc) in your Neighbourhood?

Please give details for Q4  

If not, can you tell us why?  

5. Has the credit crunch had an effect on you in your Neighbourhood?

Please give details for Q5  

Surbiton Neighbourhood Ebulletin

If you would like to receive the Surbiton Neighbourhood E-bulletin, giving information about what’s going on in the Neighbourhood, please complete the form below.

Name  

Address  

Postcode  

Email Address  

• Please tick this box if you prefer to receive information by email

Equality Monitoring

In Kingston we take pride in our services. We want to know that all residents know how to access services by providing various means of communication for people who are disabled or have language difficulties. We also need to know that decisions to provide a service are made in a fair way and that services are provided in a way that meets people’s needs. By you filling in this equality monitoring form it will help us to better understand who lives in our borough and what needs to be considered in order to make sure our services are provided fairly and are easily accessible

This information will be kept confidential. Please tick all of the boxes that apply to you.

Other religion or belief:  

Other sexual orientation:  

Other ethnic group:  

Other disability: