Show your support for a new community-owned shop in Wilburton

Here's your chance to tell us the kind of shop you want it to be and allow us to show enough community support to unlock a large grant that pays for the setup.

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* 1. Thank you for taking this survey, before we begin please complete your name and address below

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* 2. On a scale of 1-5 (where 1 is not important and 5 is very important), how important do you think it is to have a village shop in Wilburton?

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* 3. If a new community shop was opened in Wilburton how often would you or any of your household use it?

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* 4. What products would you be most likely to buy if we stock them? (Please tick all that apply)

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* 5. What services would you be most likely to use? (Please tick all that apply)

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* 6. Are there any other products or services you would like to see? Please list them here.

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* 7. What time of day would you be most likely to use the shop?

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* 8. How far do you currently travel to do
1. Your main weekly shop? 2. Convenience shopping

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* 9. Where do you currently shop other than a large supermarket?

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* 10. Please state how many people in each age range there are in your household:

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* 11. Would you or anyone in your household be interested in helping our community shop raise funds in any of the following ways?

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* 12. Would you be interested in volunteering by helping with the day to day running of the shop and if so how? (Please tick all that apply)

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* 13. If you have answered yes and you are interested in supporting the community shop please leave your either email/phone number/both in the box below.