ABSTRACT

More than once per week [ ] [ ] [ ] [ ] At least once per month [ ] [ ] [ ] [ ] Less than once per month [ ] [ ] [ ] [ ] At least once per week [ ] [ ] [ ] [ ] Once or twice [ ] [ ] [ ] [ ] Never [ ] [ ] [ ] [ ]

Now, some questions about yourself:

2. Are you male or female? Male [ ] Female [ ]

3. In which age group are you? 16-19 [ ] 20-24 [ ] 25-34 [ ] 35-44 [ ] 45-54 [ ] 55-64 [ ] 65+ [ ]

4. Are you: Married [ ] Single [ ] Divorced/separated [ ]

5. Are you registered disabled? Yes [ ] No [ ]

6. Did you attend school in Darlington? Yes [ ] No [ ]

7. At what age did you, or do you expect to, complete your full time education? 16 or under [ ] 17-18 [ ] 19 or over [ ]

8. How long have you lived in Darlington? Less than 1 year [ ] 2-3 years [ ] 4-5 years [ ] Over 5 years [ ]

9. Do you own or have use of a car? Yes [ ] No [ ]

Next some questions about the household you live in:

10. What best describes your present housing situation ? Are you: An owner occupier [ ] A council tenant [ ] A private tenant [ ] In residential care [ ] Living with parents/guardians [ ] Other ............................................................................................