A About your
household
(To
find out how many people of different ages live in your
area)
A1 How many
people of the following age groups are in your household?
Under 5
[ ] 5 to 16
[ ] 17 to 25
[ ] 26 to 45
[
]
46 to 64
[ ] 65 to 80
[ ] Over 80
[ ]
A2 How long
have each of the people in your household, over 16 years, lived in the
area?
Please answer for each
person
Person 1
[ ] Person 3
[ ] Person 5 [
] Person 7
[
]
Person 2
[ ] Person 4
[ ] Person 6
[ ] Person 8
[
]
B Employment &
Business
(To
identify any employment needs in your area)
B1 How many
people in your household over the age of 16 are?
In full-time employment
[ ]
In part-time employment [
]
Self-employed
[ ]
Full-time home makers
[
]
Registered as unemployed
[ ]
Homeworkers
[
]
Retired
[
]
B2 Should
there be more local opportunity for employment?
Yes
[ ]
No
[
]
B3 Should more
visitors and tourists be encouraged to come to the
neighbourhood?
Please tick yes or
no
Yes
[ ]
No
[
]
B4 Should the
following notices and facilities be provided?
Tick all you agree
with
Signs for places of interest
[ ]
Picnic areas
[
]
Where to walk or cycle
[ ]
Local bus & taxi information
[
]
Refreshments (e.g. tea-room)
[ ]
Public toilets
[
]
C
Education
C1 This
question C1 is for anyone in the household who is under 18 years of
age.
Would you be interested in attending any of the following
groups?
Homework club
Yes
[ ]
No
[
]
Brownies
Yes [ ]
No
[
]
Cubs
Yes
[ ]
No
[
]
Scouts
Yes
[ ]
No
[
]
Guides
Yes
[ ]
No
[
]
Youth Club
Yes
[ ]
No
[
]
Community Projects Yes [ ]
No
[
]
Sports Clubs
Yes
[ ]
No
[
]
Your
village needs you to attend a meeting to discuss these and other ideas. Would you be prepared to attend such a
meeting?
Yes
[ ]
No
[
]
What other improvements would you like?
C2 Would
anyone in your household go to further education or hobby and leisure
classes
if these were held locally?
Please tick yes or
no
Yes
[ ]
No
[
]
C3 If yes,
what subjects would you like to be covered?
Please write your ideas here
-
C4 Would
anyone in your household like to go to such classes, but is not able to because
of-
Please tick any of the answers
that apply (leave blank if this question is not
relevant)
Cost of course
[ ]
Lack of child care
[
]
Travel costs
[ ]
Lack of other support/help
[
]
D.
Environment
(To identify problems/interests near where
you live)
D1 In your
neighbourhood, do you suffer from any of the following
problems?
Please tick any that
apply
Speeding traffic
[ ]
Traffic noise
[
]
Parking problems
[ ]
Litter
[
]
Fouling by dogs
[ ]
Other (please write below)
[
]
Heritage and Environment
(To
identify interest in and understanding of the local
environment)
Which
of the following things matter most to you about living in Warden, Fourstones
and Newbrough and surrounding settlements?
High
Low
The
riverside
[ ]
[
]
The
woodlands
[ ]
[
]
The
villages
[ ]
[
]
D2 Do you own
or live in a Listed building? Yes [ ] No [
]
D3 Should more
be done to find out about the heritage and environment of the
parishes?
Yes [ ]
No [
]
If ‘yes’ would you be willing to lend a hand by joining a group to do
this?
Yes [ ]
No [
]
D4 How many of
the following have you, or members of your household visited or know
of?
Tick the appropriate
box
Visited
Know of
Not heard of
Any part of the riverside footpath
[ ]
[ ]
[
]
St Mary’s Well, Newbrough
[ ]
[ ]
[
]
Warden Hill Iron Age Camp
[ ]
[ ]
[
]
Crow Wood
[ ]
[ ]
[
]
Settlingstones Winding Wheel
[ ]
[ ]
[
]
Hadrian’s Wall footpath
[ ]
[ ]
[
]
Watersmeet
[ ]
[ ]
[
]
Warden Saxon Church
[ ]
[ ]
[
]
Carr Edge Scout Camp
[ ]
[ ]
[
]
Newbrough Roman Fort
[ ]
[ ]
[
]
D5 The
following wild animals and birds have been reported in the
area.
Tick the box if you, or anyone in
your household, has seen one
Deer
[ ]
Fox
[ ]
Hare
[
]
Stoat
[ ]
Red Squirrel [ ]
Bat
[
]
Mink
[ ]
Grey Squirrel [ ]
Otter
[
]
Buzzard
[ ]
Goosander
[ ]
Kingfisher [
]
Goldeneye
[ ]
Woodpecker [ ]
Waxwing
[
]
Do you feed the birds in your garden? Yes [ ] No [
]
Do you have a special interest in the natural history of the
area?
Yes [ ]
No [
]
D6 Are
footpaths and rights of way well maintained and
signposted?
Yes [ ]
No [ ] If no please
expand.____________________
E Housing and well
being
(To
identify housing/care and health requirements)
E1a Please tell us
something about where you live. Is
your home:
Owned
[
]
Rented or leased
[
]
Other
[
]
E1b Do you live in
a house?
Yes [ ]
No [
]
a bungalow
Yes [ ]
No [
]
a flat
Yes [ ]
No [
]
other
Yes [ ]
No [
]
E1c If your home is rented
or leased are you happy with the level of amenities
provided?
Yes [ ]
No [ ]
If your answer is no, please explain
E2 Are more of
the following needed in your area?
Please tick yes or
no
Affordable
housing for sale
Yes [ ] No [
]
Affordable low cost housing for rent
Yes [ ] No [
]
E3 Is there a
need for accommodation with care and support services provided that
would
enable older and disabled people to stay in the
area?
Yes
[ ]
No
[
]
E4 Does anyone
in your home have difficulty accessing the following health
care?
GP medical care
Yes [ ]
No [
]
Dental care
Yes [ ]
No [
]
Chiropody
Yes [ ]
No [
]
Physiotherapy
Yes [ ]
No [
]
Occupational therapy
Yes [ ]
No [
]
Prescription Services
Yes [ ]
No [
]
E5 Which GP
Practice do you use? Please tick
your answer.
Humshaugh [ ] Hexham [ ] Haydon Bridge [ ] Other [
]
E6 What are
your principal difficulties in getting care?
Travel/distance problems [ ]
Cost of travel
[
]
Time services are available [ ]
Other reasons? Please write below
F
Services
(To find out if services where you live need
improvement)
Tick one box for each
service. Leave blank if you
don’t know
Excellent Good
Fair
Poor
Police
[ ]
[ ]
[ ]
[
]
Fire
[ ]
[ ]
[ ]
[
]
Ambulance
[ ]
[ ]
[ ]
[
]
Refuse collection [ ]
[ ]
[ ]
[
]
Gritting
[ ]
[ ]
[ ]
[
]
Snow clearing
[ ]
[ ]
[ ]
[
]
Street lighting
[ ]
[ ]
[ ]
[
]
Grass cutting [ ]
[ ]
[ ]
[
]
Electricity supply [ ]
[ ]
[ ]
[
]
Gas supply
[ ]
[ ]
[ ]
[
]
Water supply [ ]
[ ]
[ ]
[
]
F2 Do you make
use of the paper skip at Newbrough First School? Yes [ ] No [ ]
What
other recycling facilities if they were available would you use within the
locality?
(Please give details)
F3 Are you
covered by a Neighbourhood Watch scheme?
Yes
[ ]
No
[
]
F4 In the area
are there enough?
Post boxes
Yes [ ]
No [
]
Telephone boxes Yes [ ]
No [
]
Public toilets
Yes [ ]
No [
]
F5 Where does
your household do its main shopping?
Please tick boxes that apply
Hexham
[ ]
Haydon Bridge
[
]
Metro Centre [
]
Newcastle
[ ]
By Internet
[ ]
Other
[
]
F6 How often
do you use the following services?
Daily
Weekly
Monthly
Never
Post Office
[ ]
[ ]
[ ]
[
]
Garage
[ ]
[ ]
[ ]
[
]
Public Houses
[ ]
[ ]
[ ]
[
]
Milk Round
[ ]
[ ]
[ ]
[
]
Library Van
[ ]
[ ]
[ ]
[
]
Is there any service that you feel is missing from the
villages?
Please write
below
G Transport and
road
(To identify issues and
problems)
G1 How
important to you/people in your household is the current bus service in your
area?
Very important
[ ] Important [ ] Not very [ ] Not at all [
]
G2 If there
was better public transport from your area would you/people in your household
use it?
Yes [ ]
No [
]
G3 If
Fourstones Railway Station was re-opened would you use it? Yes [ ] No
[
]
H Play and
Sport
(To
identify demand for more play and sports provision)
H1 How
important is it to have a play area near your house?
Very important
[ ] Important [ ] Not very [ ] Not at all [
]
H2 Which
sports do members of your household take part in?
Tick all that
apply
Badminton
[ ]
Bowling
[ ] Keep
fit [ ]
Table Tennis [
]
Squash
[ ]
Horse riding [ ] Swimming [ ]
Other
[
]
H3 If suitable
facilities were provided in the area, which of the above would you play
there?
Badminton
[ ]
Bowling
[ ] Keep
fit [ ]
Table Tennis [
]
Squash
[ ]
Horse riding [ ] Swimming [ ]
Other
[
]
H4 Do
you/people in your household participate in the following?
Please tick all that
apply
Hunting
[ ]
Shooting [ ]
Fishing
[
]
Walking
[ ]
Running
[ ]
Cycling
[
]
H5 Are there
adequate opportunities for your preferred sports/activities in the
area?
Yes
[ ]
No
[
]
I
Communications
(To find out whether local communications
could be improved)
Please tick
any
The Stanegate
[ ] Notes (in the
Courant)
[
]
Notice board
outside the Church
[ ] Notice boards in the
villages
[
]
Notices in the Post Office window
[ ] Notices at the
Garage
[
]
I2
Are the current sources of information adequate?
Yes
[ ] No [
]
I3
Do you have any suggestions?
J2 How
important are the following to your household?
Please tick one box per
line
Very
Not Very
No
Important
Important
Important
Importance
Newbrough C of E First School [ ]
[ ]
[ ]
[
]
Newbrough Town Hall
[ ]
[ ]
[ ]
[
]
Methodist Chapel
[ ]
[ ]
[ ]
[
]
St Aidan’s Fourstones
[ ]
[ ]
[ ] [
]
St Michael’s Warden
[ ]
[ ]
[ ]
[
]
St Peter’s Newbrough
[ ]
[ ]
[ ]
[
]
J3 If
you attend any of the four places of worship mentioned in J2, how often
?
Weekly [
]
Monthly [
]
Quarterly [
]
Less often [
]
J4 Does
the distance from the church affect your attendance? Yes [ ]
No [
]
J5 Do
you have any comments concerning any of the places of worship within the
parish?
J6 What
improvements would you like to see in the village?
Please write
below
Thank
You
We
do appreciate your valuable feedback - it will be of great assistance to the
Parish Council in formulating the Parish Plan. All comments and observations will be
noted and recorded. The results and
analysis of the questionnaire together with a list of priorities will be sent to
every household. The Council will
be in a much better position to make decisions on your behalf in order to
address community needs. Thank you
once again for your time and effort.
Please
return your questionnaire to ………..
It
will be collected by …………… on ……………
It
can also be left at WI House next to the Town Hall
