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

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* 2. Are you …. ? (Tick all that apply)

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* 3. I access Kirkgate by car to…..

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

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

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

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* 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

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