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Public Consultation Questionnaire

M1 Jct 19

Please return this questionnaire by 12th September 2008

Please provide us with your name and address OR just your postcode - if you would rather your comments were confidential (this information will only be used to analyse the location of the responses).
By completing this questionnaire, you have indicated that you have an interest in the M1 Junction 19 Improvement Scheme. It would help us if you could identify the nature of your interest.
Which three of the following do you consider the most important when choosing an option? Please tick three boxes only.

visual impact
noise and air quality
traffic congestion
links between villages
traffic accidents and road safety
disruption during construction
traffic through local villages
impact on land and agriculture
nature conservation
access to motorway and trunk road network
Please rank the junction options 1 to 3 (1 - most preferred, 3 - least preferred):

Blue

1
2
3

Brown

1
2
3

Red

1
2
3

No preference
Please rank the local road network option 1 to 3 (1 - most preferred, 3 - least preferred):

Green

1
2
3

Orange

1
2
3

Purple

1
2
3

No preference
Please rank the combinations of junctions and local road networks 1 to 6 (1 - most preferred, 6 - least preferred):
(note - only the Green local road network is possible with all three junction options)

Blue junction and Green local road

1
2
3
4
5
6

Red junction and Green local road

1
2
3
4
5
6

Brown junction and Green local road

1
2
3
4
5
6

Red junction and Orange local road

1
2
3
4
5
6

Red junction and Purple local road

1
2
3
4
5
6

Do nothing / No improvement

Please tell us your reasons why
At the next stage of design we will develop a local network for pedestrians, cyclists and horse riders. To help us to do this, please tell us if you use the existing local paths and bridleways.

Yes
No

If you answered NO - please tell us why
Are there any other comments that you would like to make in relation to the proposals for the M1 Junction 19 Improvement Scheme?
To ensure that we are meeting our Diversity Guidelines could you please help us by filling in the following section of this questionnaire. Consultees are not obliged to complete this; the information will only be used by the Agency to monitor its effectiveness at consulting with the whole community. This information will not be used for any other purpose and, in publishing the results, individuals will not be identified.

Age

Gender

Male
Female

Please tick the box if you are Disabled

Ethnic Origin - Which ethnic group do you identify with? e.g. British, Asian, Afro Caribbean

Religion or Belief - Do you follow a particular religion or hold a religious or similar philosophical belief?

Yes
No
Prefer not to say

If YES please specify

Information provided in response to this consultation, including personal information, may be published or disclosed in accordance with the access to information regimes (these are primarily the Freedom of Information Act 2000 (FOIA), the Data Protection Act 1998 (DPA) and the Environmental Information Regulations 2004).

If you want the information that you provide to be treated as confi dential, please be aware that, under the FOIA, there is a statutory Code of Practice with which public authorities must comply and which deals, amongst other things, with obligations of confidence. In view of this it would be helpful if you could explain to us why you regard the information you have provided as confidential. If we receive a request for disclosure of the information we will take full account of your explanation, but we cannot give an assurance that confidentiality can be maintained in all circumstances. An automatic confidentiality disclaimer generated by your IT system will not, of itself, be regarded as binding on the Agency.

The Agency will process your personal data in accordance with the DPA and in the majority of circumstances; this will mean that your personal data will not be disclosed to third parties. Confidential responses will be included in any statistical summary of number of comments and views expressed.