Current Survey: Understanding Your Concerns

Understanding your concerns is a key part of my work as your local Member of Parliament. Your views are important to me, so I would be grateful if you have the time to complete the survey below. It lets me know what really matters to you and your family.

Your Details:
Name:
Address:
Postcode:
Phone Number:
Email:
Tick this box to be added to my email notification service:

The Survey:
1.		Are you satisfied with the service provided by our local hospitals?
		- Select An Answer - Yes - satisfied No - not satisfied Don't know
2.		Are you satisfied with the service provided by local doctors’ surgeries?
		- Select An Answer - Yes - satisfied No - not satisfied Don't know
3.		Have you or a member of your family had difficulty in getting access to dental services in the last three years?
		- Select An Answer - Yes No
4.		Are you satisfied with the performance of our local schools and school discipline?
		- Select An Answer - Yes - satisfied No - not satisfied Don't know
5.		Are you satisfied with railway services in Buckinghamshire
		- Select An Answer - Yes - satisfied No - not satisfied Don't know
6.		Are you happy with the bus services in your area?
		- Select An Answer - Yes - satisfied No - not satisfied Don't know
7.		Have you or any of your neighbours been a victim of crime in the last five years?
		- Select An Answer - Yes No Don't know
8.		Do you think that the level of taxation you pay is too low, too high or about right?
		- Select An Answer - Too low Too high About right Don't know
9.		Do you think you pay more tax today than you did five years ago?
		- Select An Answer - Yes No Don't know
10.		Should the UK join the European single currency or keep the pound?
		- Select An Answer - Join the Euro Keep the Pound Don't know
11.		To help me understand what matters to different groups of people, would you feel able to tell me a little about yourself? What age group do you belong to?
		- Select An Answer - 18 - 25 26 - 34 35 - 49 50 - 59 Over 60 Decline to state
12.		Do you have children of school age?
		Primary / Middle
		Secondary
		Sixth Form
		University
		None
		Decline to state
13.		Which party did you support at the last General Election?
		- Select An Answer - Conservative Labour Liberal Democrat Did not Vote Decline to state Other - please use the box below
		Other:
14.		If there was a General Election tomorrow how would you vote?
		- Select An Answer - Conservative Labour Liberal Democrat Will not vote Decline to state Other - please use the box below
		Other:

Cheryl Gillan MP House of Commons London SW1A 0AA Telephone: 020 7219 3000 Published by: P.H. Dumville Disraeli House 12 Aylesbury End Beaconsfield Bucks HP9 1LW