Personal details

1.Name

2.Email

3.Postcode

4.I would like to be added to a mailing list for any follow up:

Yes

No

Questions

5.How would you describe your connection to the area?

Local resident

Work locally

Student

Regular visitor

Other (please comment)

6.If you selected other, please leave your comment below:

7.How did you hear about this consultation event?

Flyer posted through my door

Word of mouth

Viewed posters

Unique

Other - please comment

8.If you selected other, please leave your comment below:

9.What is your view on Key Worker Housing in this location?

Very Supportive

Supportive

Neutral

Unsupportive

Not supportive at all

10.If unsupportive, what are your concerns?

11.What activities do you think the community centre will need to cater for?

12.Is there any information that you would like, that you feel wasn’t covered at the event?

13.Do you have any other comments?