MIDDLE RASEN VILLAGE HALL

1 . If Middle Rasen had a new village hall, would anyone in your household use it? YES NO

2. What would members of your household like to see it used for?

a) Social Junctions

b) Private functions _.

c) Club / society's venue

d) Sports /games venue

e) Day / evening classes

f) Breakfast club / After school club / Youth club

g) U3A / Luncheon club

h) Community access point eg medical / financial / educational

i) Other. Please state.

Please tick all that apply.

3. What would members of your household use it for?

a) Village social functions; eg quizzes / discos / fundraising events

b) Private functions; eg birthday parties / wedding reception

c) Clubs / societies venue

d) Sports / games venue

e) Day / evening classes

f) Breakfast club / After school club / Youth club

g) USA / Luncheon club

h) Community access point i) Other

Please tick all that apply.

4. How many people are in your household?

5. Please indicate what ages and number.

l-5year .. 6- 11 years .. 12-18years .. 19-25years ..

26 - 35years . 36-45years .. 46-55years 56years+ ..

For your replies.

Print off and complete

You may use the collection point in the Crossroads Stores in Middle Rasen, or bring it along to the Tractor Run ..