Participation Survey - Page 1 of 7 - NI Direct

Page 1 of 7

Section 1: Basic Information

1. Please indicate whether you are responding as a Community Voice or a Community Group Representative

(Required)

2. [Community Group representatives only] What is the name of your group?

Community Voice respondents please enter N/A

(Required)

3. [Community Voice only] What area/estate do you cover?

Community Group representatives answer N/A

(Required)

4. Name of key contact?

(Required)

5. What is the email address of the key contact ?

6. From the list below, please select the Area in which you/your group operates:

(Required)

7. Broadly speaking, settlements with a population of 5,000 or more are classified as ‘urban’, and those with a lower population are classified as ‘rural’. Would you say your group operates in…:

(Required)