Old Southwark Fire Station Drop in Session Survey Question Title * 1. Address Name Address ZIP/Postal Code Email Address Phone Number Question Title * 2. Please indicate which of the following apply to you: Live locally Work locally Member of a local residents' group or amenity society (please specify) Question Title * 3. Have you attended a previous consultation event on the plans for the Fire Station? This is my first event Public exhibition October 2015 February and March 2016 Community workshops May 2016 public exhibition July 2016 Mint Street Park Music Festival Other (please specify) Question Title * 4. Do you have children at a local primary school? Yes No If so, which one: Question Title * 5. Do you support the changes made to the proposed new school buildings? Yes No Neutral Question Title * 6. Do you support the changes made to the proposed residential buildings? Yes No Neutral Question Title * 7. Do you support the proposals for new community sports facilities on the grotto site? Yes No Neutral Question Title * 8. Overall, do you support the proposals for the redevelopment of the Old Southwark Fire Station? Yes No Neutral Question Title * 9. Please let us know any additional comments you have about the proposals: Question Title * 10. How would you like to be kept informed about the proposals for The Old Southwark Fire Station? Email Newsletter Website updates Question Title * 11. How did you hear about the public exhibition? Newsletter Email Word of mouth Social media Other (please specify) The information in this survey is being collected on behalf of Hadston by Cascade Communications. Your details will remain confidential and will not be passed onto any third party. Done