Please take a couple of minutes to complete this form and make your voice heard!

Male or Female:

Age:

Name of the road or village in which you live:

Please Write Down your top three interests/hobbies

Do you like being outdoors?

If you do like being outdoors, can you say why?

If you don't like being outdoors, can you say why?

List any greenspaces that you use, and say how often you use them

1. Name of Greenspace:
                           
How often do you use it in a month?

2. Name of Greenspace:
                           
How often do you use it in a month?

3. Name of Greenspace:
                           
How often do you use it in a month?

4. Name of Greenspace:
                           
How often do you use it in a month?

5. Name of Greenspace:
                           
How often do you use it in a month?

What stops you going out into greenspace more than you do?

List the top three facilities that you would like to see in Leighton Buzzard.
Cycle Paths
Foot Paths
Country Parks
Adventure Parks
Bowling Alley
Skating
Shops
Cinema
Music Venue
Sports Facility (please say which sport)

Thank you for filling in this questionnaire