1.Tell us about your yourself and disability. (tick all that apply).

I have a physical disability

I am deaf or hard of hearing

I am blind or partially sighted

I am neurodiverse

I have a hidden disability

I use a manual wheelchair

I use a powered wheelchair

I use a mobility scooter

I walk with aids

I get tired easily

I care for someone with a disability

I don’t have a disability

2.Are you …. ? (Tick all that apply)

A resident of Ripon

A visitor to Ripon

A Ripon business owner?

Someone who works in Ripon?

Other (please specify)

3.I access Kirkgate by car to…..

Get to my home

Visit businesses

Work

I don’t often go to Kirkgate

4.Do you agree with the proposal to fully pedestrianise Kirkgate for part of each day?

Yes

No

Don’t know

Need to know more

5.Name (please leave your name if you want to hear more from us on this issue).

6.Email address. (Please leave your email address if you want to hear more from us on this issue.)

*7.s there anything about your personal position / needs that you think should be considered before a decision is made? Give as much detail as you feel able to(Required.)