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?

What additional services would you be most like to see the pub offer?
Family Friendly Area?
Small Shop?
Small Cafe?
Catering (dinners and lunches)?
Book Exchange?
Other (please list as many as you like below)

What kind of catering would you like to see from the pub?
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?

Please state how many people in each age range there are in your household:

Would you or anyone in your household be interested in helping a co-operative pub project in any way by:
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.

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