90 Second Survey

Please give me your views in 90 seconds. I've left additional room by the questions so feel free to give as much detail as you like.

Fill in your contact details including email address.
Answer the quick questions.
Click 'Finish'.

First Name:

Last Name:

Address Line:

Town/Village:

Post Code:

Email:

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Home/Mobile no:

Please only complete this field if you consent to being contacted in this way and want to be kept updated on the work and campaigns of Stephen McPartland. Please view our privacy policy.

1. Which of these local issues are most important to you and why? (Tick up to 3)

Please use for any further details

2. Which of these national issues are most important to you and why? (Tick up to 3)

Please use for any further details

3. On a scale of 0 - 10, please rate your experience of your local GP practice and Lister Hospital:

Please select:

0=Poor to 10=Excellent

Please use for any further details

4. Have you had any problems in getting an appointment at your GP's surgery in the last 12 months? (Tick as applies)

Yes

I have not visited my GP in this time

5. On a scale of 0 - 10, please rate your experience of your local public transport services:

Please select:

0=Poor to 10=Excellent

Do you use: (Tick as applies)

Bus

Train

6. On a scale of 0 - 10, please rate the roads in your area and please specify below if there are any roads near you in need of enhancement or repair:

Please select:

0=Poor to 10=Excellent

Please use for any further details

7. On a scale of 0 - 10, please rate my performance as your Member of Parliament:

Please select:

0=Poor to 10=Excellent

Did you vote for me in the 2017 General Election?

Did you vote for me in the 2019 General Election?

Please let Stephen know if you want to deliver leaflets or help in some other way, or have any additional comments:

90 Second Survey

1. Which of these local issues are most important to you and why? (Tick up to 3)

2. Which of these national issues are most important to you and why? (Tick up to 3)

3. On a scale of 0 - 10, please rate your experience of your local GP practice and Lister Hospital:

4. Have you had any problems in getting an appointment at your GP's surgery in the last 12 months? (Tick as applies)

5. On a scale of 0 - 10, please rate your experience of your local public transport services:

Do you use: (Tick as applies)

6. On a scale of 0 - 10, please rate the roads in your area and please specify below if there are any roads near you in need of enhancement or repair:

7. On a scale of 0 - 10, please rate my performance as your Member of Parliament:

Am I your MP?

90 Second Survey

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