The Future of Sustainable Staffordshire

‘Supporters’ views’ questionnaire

 

Contact Details

Answer (please circle your preference)

Please give full details to enable us to stay in contact

(N.B. This information will be shared with the Community Council of Staffordshire, Friars Mill, Friars Terrace, Stafford ST17 4DX Charity Registration No: 1046364)

 

Your Name:

 

Telephone number:

 

Email:

 

Post to Address:

 

 

Post Code:

Support for activities

Answer (please circle your preference)

Are you willing to volunteer some of your time to Sustainable Staffordshire to encourage people to consider and help them to adopt more sustainable lifestyles?

 

Yes/No

Your Comments:

If ‘Yes’, would you prefer to:

Attend future events

Help with administration

Offer technical advice or share your practical experience at ‘Green Roadshows’ or other local public events in Staffordshire

Learn how to be a ‘Community Champion’ by joining a free ‘Every Action Counts’ course (which includes two sessions)

 

Yes/No

Yes/No

Yes/No

Please circle if you have expertise to share about:

General lifestyle: Energy efficiency; Renewables; Cutting consumption; Waste minimisation

 

Yes/No

(Please complete ‘Contact Details’ to receive information on forthcoming sessions organised by the Community Council of Staffordshire)

Financial support

Answer (please circle your preference)

Would you be able to make a small financial contribution to support the work of Sustainable Staffordshire in the future?

 

Yes/No

Your Comments:

Please return this questionnaire to Helen Swift, Project Co-ordinator, Sustainable Staffordshire, c/o Development Services, Riverway, Stafford ST16 3TJ or fax to 01785 215286 no later than Friday 30 November 2007.

 

Thank you for your time.

 

 

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