1

How many children under 2 years of age currently live full-time or part-time at your address?

2

What are the dates of birth of each of the children currently living full-time or part-time at your address who are under the age of 2?

3

Which one of the following statements best describes the likelihood of you sending any child living full-time or part-time at your address to a Welsh medium primary school if that school is in excess of 2 miles of your home—

1. a

   very likely;

2. b

   quite likely;

3. c

   likely;

4. d

   unlikely;

5. e

   quite unlikely; or

6. f

   very unlikely.

4

Which one of the following statements best describes the likelihood of you sending a child living full-time or part-time at your address to a Welsh medium primary school if that school is within 2 miles of your home—

1. a

   very likely;

2. b

   quite likely;

3. c

   likely;

4. d

   unlikely;

5. e

   quite unlikely; or

6. f

   very unlikely.

5

Which one of the following statements best describes what you consider to be an acceptable journey time between home and a Welsh medium school by bus of—

1. a

   less than 10 minutes;

2. b

   between 10 minutes and 20 minutes;

3. c

   between 20 minutes and 30 minutes;

4. d

   between 30 minutes and 45 minutes;

5. e

   between 45 minutes and 60 minutes; or

6. f

   more than 60 minutes.

6

What is your postcode?