* 1. Please confirm the status that best describes you?

* 2. Have you received enough information regarding our proposal?

* 3. Do you support the proposal for Bolton on Swale Primary School to convert to academy status and form a Multi-Academy Trust?

* 4. Do you agree that the Secretary of State should enter into a Funding Agreement for Bolton on Swale Primary School?

* 5. Any other comments? (please write in)