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RNIB incorporating The Blind Centre for Northern Ireland

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Research

PIP Questionnaire

Your details
 
1. List the top 5 obstacles that cause you major problems whilst walking along the footpath:
(Select 5 only - 1 being your Top Choice; 5 being your Last Choice)


2. Have you ever spoken to your MP, MLA or District Council Representative about Street Furniture?




5. Would you be willing to assist in the Blind Centre's
P I P Campaign in your town?


6. If Yes, may we have your name and address?







Sex:


Age:


Thank you for taking time to complete this Questionnaire on behalf of the Blind and Visually Impaired People of Northern Ireland