Community Consultation Ledbury Poetry Question Title * 1. Have you heard of Ledbury Poetry? Yes No Question Title * 2. Have you ever been to an event or workshop hosted by Ledbury Poetry? If you have please tell us what it was. Question Title * 3. Please could you tell us what you think Ledbury Poetry does? And also who is it for? Question Title * 4. Are you aware of Ledbury Poetry's community programme? Yes No Question Title * 5. Are Ledbury Poetry's events appealing and relevant to you? Yes No Please comment Question Title * 6. Who do you think might attend Ledbury Poetry's activities? Question Title * 7. What events / activities would you like to see Ledbury Poetry provide? Question Title * 8. We'll be establishing a group to help create our year round community programme. Would you like to be involved? Please add your e mail address if you would. Yes No add email address Question Title * 9. If you would like to be kept informed of our programme and activities please add email address below. Question Title * 10. Are there any other comments you'd like to make? Question Title * 11. We want to ensure that we reach a representative sample of people who live in the Ledbury area. It would help us if you could give as us much information about yourself as you feel comfortable with, by circling the relevant categories below. We understand that this is personal information and you are in no way obliged to fill this in.This information is useful to us when we apply for further funding. OK No thanks Question Title * 12. Age 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ Prefer not to say Question Title * 13. Gender Female Male Non binary Other Prefer not to say Question Title * 14. Ethnicity Question Title * 15. Employment Status Question Title * 16. Marital Status Question Title * 17. Would you consider yourself to have a disability? Yes No Prefer not to say Question Title * 18. Would you consider yourself to be Neurodivergent? Yes No Prefer not to say Question Title * 19. What is your sexuality? Question Title * 20. What is your religion? Done