Your Personal Details:

Title

Initials

Surname

Position

Company Name

Address

Postcode

Telephone

Email

It is intended that this information be stored on a computer for the sole use of the Member of Parliament
Please tick here if you do not wish this to be the case:

1
Has the recession affected you or your business?
2
Have you noticed an increase/decrease in business compared to this same period last year?
3
Has the cost of running your business risen in the past twelve months?
4
Which of these aspects of the rising cost of running a business most concern you? (Please select one)





Other: 
5
Have you and your business made any cutbacks in recent months?



Other: 
6
How has the recession affected business at a local level?



Other: 
7
a) Has your business had problems getting access to credit or experienced a withdrawal of existing credit lines?

b) Have any of the Government schemes to help with access to credit been any help?
8
What steps do you think the Government could take to help small business locally?


Other: 
9
Are you aware that shops and small businesses can claim Small Business Rate Relief?
10
If no, would you like more information on how to claim?
11
Do you hold your business account at a local High Street Bank?
12
If you run a business overdraft, have you recently had your interest rate cut?
13
Are you more or less confident that your bank will continue to support your business?
14
Has the reduction in VAT involved a lot of extra work?
15
Do you think the benefits of the new rate outweigh the disruption caused?
16
Have you any posts within your business that remain unfilled?
17
Do you have problems recruiting staff locally with the necessary skills?
18
Are you prepared to work closer with local schools and colleges to make sure that these concerns are addressed?
19
Where do you see yourself and your business in 12 months time?
20
What is your business type?





Other: