Orchard Park consultation

Orchard Park - Draft Regeneration Plan
Response Form

If you require this survey in another format (such as paper or Braille) or another language (such as French), or if you have any questions about the survey in general, please contact the Orchard Park PFI team by calling 01482 300 300 or by emailing orchardparkpfi@hullcc.gov.uk .

Do you agree with the changes proposed for parts of the Danes and Thorpes as outlined in the Draft Regeneration Plan? Please select one option

Yes

Don't know

Q1.b	Please use the space below to make any further comments.

Q2.a

Would you like to see any changes made to the Draft Regeneration Plan?

Yes

Q2.b	Please use the space below to explain any changes you feel should be made.

About you

We would like to ask a few more questions about you.

You do not have to answer these questions although it will help us to understand more about the people who have completed this questionnaire and whether different groups of people have different views or feel differently.

You do not have to fill them in but if you do, the information you provide will remain anonymous and will not be used to identify individual responses.

3.	What is your postcode? This will help us to understand if people who live in your area have different views to people who live in other areas of the city. Please use the space provided below

4.a

What is your gender identity? Please select one option

Male

Female

4.b

If you are transgender and wish to tell us please tick the box below

5.	What is your month and year of birth? Please write the month and year in the spaces provided
	Month (mm)
	Year (yyyy)

Are your day-to-day activities limited because of health problem or an impairment which has lasted, or is expected to last at least 12 months?
(please include conditions such as mental health issues or problems related to ageing). Please tick one box

Yes, limited a little

Yes, limited a lot

Q8.	Is there anything else you would like to tell us about yourself? Some examples of things that other people have told us about are their country of birth or their religion. Please use the space below

Thank you very much for you time.

Orchard Park - Draft Regeneration Plan Response Form

If you require this survey in another format (such as paper or Braille) or another language (such as French), or if you have any questions about the survey in general, please contact the Orchard Park PFI team by calling 01482 300 300 or by emailing orchardparkpfi@hullcc.gov.uk .

About you

Orchard Park - Draft Regeneration Plan
Response Form