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.

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

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:

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: