| |
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 . |
|
Q1.a |
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 |
|
|
|
|
|
|
|
Q1.b |
|
|
|
|
Q2.a |
Would you like to see any changes made to the Draft Regeneration Plan? |
|
|
|
|
|
Q2.b |
|
|
|
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. |
|
4.a |
What is your gender identity? Please select one option |
|
|
|
|
|
4.b |
If you are transgender and wish to tell us please tick the box below |
|
|
|
6. |
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 |
|
|
|
|
|
|
|
7. |
Which of the following best describes your ethnic background? Please select one option |
|
|
|
|
|
|
|
|
|
|
|
|
Please select the option below that best describes you. Please select one option |
|
|
|
|
|
|
|
|
|
|
Please select the option below that best describes you. Please select one option |
|
|
|
|
|
|
|
|
Please select the option below that best describes you. Please select one option |
|
|
|
|
|
|
|
|
|
|
|
|
Please select the option below that best describes you. Please select one option |
|
|
|
|
|
|
|
|
|
|
Please select the option below that best describes you. Please select one option |
|
|
|
|
|
Q8. |
|
|
|
|
Thank you very much for you time. |
| |