Neighbourhood Plan

Question Title

* 1. Objective 1- Better Facilities for Local People
Please indicate whether you agree with the proposals by ticking a number below between 1 and 5; 5 being strongly agree and 1 being strongly disagree

	5	4	3	2	1
Proposal 1 A	Proposal 1 A 5	Proposal 1 A 4	Proposal 1 A 3	Proposal 1 A 2	Proposal 1 A 1
Proposal 1 B	Proposal 1 B 5	Proposal 1 B 4	Proposal 1 B 3	Proposal 1 B 2	Proposal 1 B 1
Proposal 1 C	Proposal 1 C 5	Proposal 1 C 4	Proposal 1 C 3	Proposal 1 C 2	Proposal 1 C 1
Proposal 2	Proposal 2 5	Proposal 2 4	Proposal 2 3	Proposal 2 2	Proposal 2 1
Proposal 3	Proposal 3 5	Proposal 3 4	Proposal 3 3	Proposal 3 2	Proposal 3 1
Proposal 4	Proposal 4 5	Proposal 4 4	Proposal 4 3	Proposal 4 2	Proposal 4 1

Comments

Question Title

* 2. Objective 2 - Homes and Jobs to meet the Needs of Local People
Please indicate whether you agree with the proposals by ticking a number; 5 being agree strongly and 1
being disagree strongly

	5	4	3	2	1
Proposal 1	Proposal 1 5	Proposal 1 4	Proposal 1 3	Proposal 1 2	Proposal 1 1
Proposal 2	Proposal 2 5	Proposal 2 4	Proposal 2 3	Proposal 2 2	Proposal 2 1
Proposal 3	Proposal 3 5	Proposal 3 4	Proposal 3 3	Proposal 3 2	Proposal 3 1
Proposal 4	Proposal 4 5	Proposal 4 4	Proposal 4 3	Proposal 4 2	Proposal 4 1

Comments

Question Title

* 3. Objective 3 Town Centre- Enhancing the Vitality of the Town
Please indicate whether you agree with the proposals by ticking an answer; 5 being strongly agree and 1 being disagree strongly

	5	4	3	2	1
Proposal 1	Proposal 1 5	Proposal 1 4	Proposal 1 3	Proposal 1 2	Proposal 1 1
Proposal 2	Proposal 2 5	Proposal 2 4	Proposal 2 3	Proposal 2 2	Proposal 2 1
Proposal 3	Proposal 3 5	Proposal 3 4	Proposal 3 3	Proposal 3 2	Proposal 3 1
Proposal 4	Proposal 4 5	Proposal 4 4	Proposal 4 3	Proposal 4 2	Proposal 4 1

Comments

Question Title

* 4. Objective 4- Protecting the Built and Natural Environment
Please tick an answer between 1 and 5 to say whether you agree with the proposals; 5 being strongly agree and 1 being disagree strongly

	5	4	3	2	1
Proposal 1	Proposal 1 5	Proposal 1 4	Proposal 1 3	Proposal 1 2	Proposal 1 1
Proposal 2	Proposal 2 5	Proposal 2 4	Proposal 2 3	Proposal 2 2	Proposal 2 1
Proposal 3	Proposal 3 5	Proposal 3 4	Proposal 3 3	Proposal 3 2	Proposal 3 1
Proposal 4	Proposal 4 5	Proposal 4 4	Proposal 4 3	Proposal 4 2	Proposal 4 1
Proposal 5	Proposal 5 5	Proposal 5 4	Proposal 5 3	Proposal 5 2	Proposal 5 1
Proposal 6	Proposal 6 5	Proposal 6 4	Proposal 6 3	Proposal 6 2	Proposal 6 1

Comments

Question Title

* 5. Objective 5 - Transport and Communication
Please tick and answer between 1 and 5; 5 being agree strongly and 1 disagree strongly

	5	4	3	2	1
Proposal 1	Proposal 1 5	Proposal 1 4	Proposal 1 3	Proposal 1 2	Proposal 1 1
Proposal 2	Proposal 2 5	Proposal 2 4	Proposal 2 3	Proposal 2 2	Proposal 2 1
Proposal 3	Proposal 3 5	Proposal 3 4	Proposal 3 3	Proposal 3 2	Proposal 3 1
Proposal 4	Proposal 4 5	Proposal 4 4	Proposal 4 3	Proposal 4 2	Proposal 4 1
Proposal 5	Proposal 5 5	Proposal 5 4	Proposal 5 3	Proposal 5 2	Proposal 5 1
Proposal 6	Proposal 6 5	Proposal 6 4	Proposal 6 3	Proposal 6 2	Proposal 6 1

Comments

Question Title

* 6. Please complete your name and contact details.

Name:

Address 1:

Address 2:

City/Town:

ZIP/Postal Code:

Email Address:

Phone Number:

Question Title

* 7. If you left your contact details, are you happy to be contacted in future about the Neighbourhood Plan

Yes

No