Scotland Island Newsletter Questionnaire

Please select the most appropriate choice by either clicking in the appropriate boxes, or adding a comment where required, or using the drop down arrow to the right of the selection.

When you have finished, please click the SEND button at the bottom of the page.

In what suburb do you live?


Healthy Shopping

Which of the following foods would you be interested in buying?   Please choose as many as you wish

Organic GMO Free foods Bio Dynamic
Chemical Free None of these  

I may also be interested in these food types: (please specify)

Environmentally Friendly

Which of the following environmentally friendly household products would you be interested in buying? Please choose as many as you wish:

Household Cleaners Toiletries Non toxic DIY products
Paper Goods None of these Environmentally friendly garden products

I may also be interested in these household products: (please specify)

In order to reduce packaging and waste we will sell all of our products lose and in bulk. Which of the following packaging methods would you be interested in?

Bringing in and recycling your own containers

Buying low cost recycled packaging from the shop

Other suggestions: (please specify)

Living & Learning

Which of the following learning methods would you be interested in taking part in? (tick appropriate boxes)

Talks, evening classes, discussions

Buying books, reading leaflets, joining in debates and discussion

Other suggestions: (please specify)

Community Creativity

Would you be interested in: (please tick any number of choices)

Buying products from local, small scale producers?  Seeing local artworks?
Showing your work or playing music for the community? Hearing local live music?
A cheap,healthy serve-yourself style café with local produce? Childcare facilities while you shop
Receiving free initial alternative health consultations (eg Naturopathy) Giving free initial alternative health consultations

Are there any local projects that you think could be funded by profits from a community cooperative?

 Please fill in below:

Good Value & Good Fun

Are you interested in cheaper groceries? (please tick appropriate box.)

Volunteer just 2 hours of your time every 3 months to shop at cheaper prices  
Volunteer additional time to shop at near cost  

 

Location

Where would you like the shop located?  

If none of the above locations suits you, please suggest another below:

Are there other things that you would like to see a community cooperative provide or do?

 Please specify in the area below:

Would you like to put your name on the supporters list and receive more information about our progress and a special invitation to the opening?

Do you have any of the following skills and would you like to be part of the working committee to help make this happen?
Accounting / Legal / Computer / Building / Electrical / Plumbing  etc. Please list below:

Please provide contact details

Full Name: E-Mail:  
Address:  
Telephone Daytime: Telephone After Hours:  
YES, please put me on the supporters List  

Thanks!