Survey Your Details: If our local pub was run by the community in Northwold & Whittington how often would you or any member of your household use it? Daily 2-3 Times a Week Once a Week Once a Fortnight Occasionally Never What additional services would you be most like to see the pub offer? Yes No Family Friendly Area? Yes No Small Shop? Yes No Small Cafe? Yes No Catering (dinners and lunches)? Yes No Wi-fi? Yes No Book Exchange? Other (please list as many as you like below) What kind of catering would you like to see from the pub? Serving food isn’t important to me Snacks Bar Meals Restaurant Carvery Buffet Take Away Other (please list as many as you like below) 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 local pub in Northwold? 1 - Not Important 2 3 4 5 - Very Important Please state how many people in each age range there are in your household: 0-16 years 17-25 years 26-45 years 46-65 years Over 65 years Would you or anyone in your household be interested in helping a co-operative pub project in any way by: Joining the steering group Helping with fundraising Providing professional advice/services Be involved in running the pub/volunteering Making a donation Buying a share Making a loan Other (please list as many as you like below) If you have ticked any of the above boxes, or you would like us to contact you, then please ensure your details are correct at the top of this form. Click 'Complete!' below. Complete!