Have your say on our Cycling and Walking Infrastructure Plan - Page 1 of 8 - Example Site

About you

This survey can be submitted anonymously; however we would like to know some basic information about you to understand more about our respondents.

Why do we collect this data Why do we collect this data

We collect information relating to postcode, age, gender, sexual orientation, ethnic group or background and health conditions, as this helps us see if there’s any gaps in the data that we collect. We want all our consultations to be as representative of the citizens of the [City Region] as possible.

1. What is your name?

Name

2. What is your email address?

3. If you are replying in an official capacity on behalf of an organisation, business, or community group, or town/parish council please provide the following details:

Organisation

Role/position:

Organisation postcode:

4. Which of the following describes your main interest in the (LCWIP)? (please select one answer):

I am a resident I regularly visit (for work, education, leisure, or any other purpose) I am a councillor I represent a town or parish council in an official capacity I represent a health partner organisation such as integrated care or mental health trust I represent a business, group or organisation I represent a charity, voluntary or community sector organisation (VCS) I represent a local community group or residents’ association Other (please give details below)