Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. St Helens Chamber - GM Clean Air Zone Survey Question Title * 1. Name OK Question Title * 2. Company Name OK Question Title * 3. Email Address OK Question Title * 4. Description of Business Activity? OK Question Title * 5. What type and number of Vehicles do you currently operate ? 1 - 5 6-10 11-16 17-21 21-50 50+ HGV Standard Operators Licence HGV Standard Operators Licence 1 - 5 HGV Standard Operators Licence 6-10 HGV Standard Operators Licence 11-16 HGV Standard Operators Licence 17-21 HGV Standard Operators Licence 21-50 HGV Standard Operators Licence 50+ HGV Restricted Operators Licence HGV Restricted Operators Licence 1 - 5 HGV Restricted Operators Licence 6-10 HGV Restricted Operators Licence 11-16 HGV Restricted Operators Licence 17-21 HGV Restricted Operators Licence 21-50 HGV Restricted Operators Licence 50+ Vans - Couriers Vans - Couriers 1 - 5 Vans - Couriers 6-10 Vans - Couriers 11-16 Vans - Couriers 17-21 Vans - Couriers 21-50 Vans - Couriers 50+ All other Vans - Mini bus, Motorhomes, Motorised Horse Boxes All other Vans - Mini bus, Motorhomes, Motorised Horse Boxes 1 - 5 All other Vans - Mini bus, Motorhomes, Motorised Horse Boxes 6-10 All other Vans - Mini bus, Motorhomes, Motorised Horse Boxes 11-16 All other Vans - Mini bus, Motorhomes, Motorised Horse Boxes 17-21 All other Vans - Mini bus, Motorhomes, Motorised Horse Boxes 21-50 All other Vans - Mini bus, Motorhomes, Motorised Horse Boxes 50+ Taxi / Private Hire Vehicles Taxi / Private Hire Vehicles 1 - 5 Taxi / Private Hire Vehicles 6-10 Taxi / Private Hire Vehicles 11-16 Taxi / Private Hire Vehicles 17-21 Taxi / Private Hire Vehicles 21-50 Taxi / Private Hire Vehicles 50+ Other Other 1 - 5 Other 6-10 Other 11-16 Other 17-21 Other 21-50 Other 50+ OK Question Title * 6. Of the vehicles you operate how many are Euro 6 All Less than 50% Less than 20% Less than 10% None OK Question Title * 7. Before this notice, how aware were you about the GM Clean Air Zone? Very aware Somewhat aware Not so aware Not at all aware OK Question Title * 8. On a scale of 1-5, with 5 being the most. How seriously will Clean Air Zone affect your Business? 1 2 3 4 5 Not at all OK Question Title * 9. Any other Comments? OK Question Title * 10. Would you like to be notified of any events/meetings organised by the Chamber to obtain information and express your views regarding Clean Air Zone? Yes No OK Question Title * 11. Please provide contact details for colleagues or other Businesses you work with who you would like us to invite to future events/meetings? Name Company Address Address 2 City/Town ZIP/Postal Code Email Address Phone Number OK DONE