ABOUT YOU

Your name:............................................................................

Address:.................................................................................

Phone number:.....................................................................

Email:.......................................................................................

What age group are you in?

Under 30 1

31-59 2

60+ 3

CRIME AND THE POLICE

1 Do you feel more or less at risk of crime than a year ago?

More at risk 4

The same 5

Less at risk 6

2 Have you been a victim of crime?

Yes, in the last 6 months 7

Yes, in the last two years 8

Not in the last two years 9

3 Do you think our area has enough police?

Yes 10

No 11

4 What types of crime should the police focus on?

Burglary 12

Car crime 13

Illegal drug use 14

Anti-social behaviour 15

Speeding etc 16

Other (please state) 17

...................................................................................................................................................................................................................................................................................................

5 Do you agree with Tony Blair's threat to merge Hampshire Police Authority with neighbouring counties to make a regional `super-force'?

Yes 18

No 19

NHS AND HEALTH

6 Are you currently registered with an NHS dentist?

Yes 20

No 21

7 Have you personally had any treatment from the NHS in the last 12 months?

Not at all 22

Yes, visited my GP 23

Yes, inpatient in hospital 24

Yes, as out-patient 25

Yes, used A&E/casualty 26

8 Have you encountered problems with waiting times for treatment or response times from emergency services?

Yes 27

No 28

If yes, please give details:

...................................................................................................................................................................................................................................................................................................

9 Which do you think is more important - keeping a full range of health services close to your community or creating regional specialist care units?

Community health facilities 29

Regional specialist care units 30

SCHOOLS & EDUCATION

10 What should be the highest priority for improving schools?

Smaller class sizes 31

Fewer targets and testing 32

More books & equipment 33

More teachers 34

Improving buildings 35

11 Do you have children in the following age groups?

0-3 years 36

4-10 years 37

11-18 years 38

12 Have you encountered problems getting your child/children into your first choice of school?

Yes 39

No 40

13 Do you agree that university tuition and top-up fees should be scrapped?

Yes 41

No 42

COUNCIL TAX

14 Overall, how well do you think your local Council is run?

Very well run 43

Quite well run 44

Quite badly run 45

Very badly run 46

15 Lib Dems want to scrap the Council Tax and replace it with a system based on ability to pay. Do you agree with this policy?

Yes 47

No 48

16 Hampshire Conservatives have announced plans to slash day care services for the old and vulnerable and to close 5 residential homes. Do you support these proposals?

Yes 49

No 50

OUR FUTURE

17 Is the Government doing enough to tackle global warming?

Yes 51

No 52

18 What action would you like to see taken to protect our environment? ..................................................................................................................................................................................................

19 What should be the top priority for tackling our energy needs?

Build more nuclear power stations 53

Greater investment in renewable energy 54

New investment in coal mining 55

Measures to cut energy use 56

ID CARDS

20 Do you support Tony Blair's plans to introduce a national Identity Card?

Yes 57

No 58

YOUR VIEWS

21 There are 250 Lib Dem councillors around Hampshire and four Lib Dem MPs. Labour are third across the County. Which party do you support?

Liberal Democrats 59

Conservative 60

Labour 61

22 The local Liberal Democrat team rely on the support of volunteers to get our message across. Would you like to join the team?

Yes, I can deliver a few leaflets in my area 62

I will display a poster at election time 63