* 1. The consultation will run from 14 July 2016 until 22 September 2016. The closing date for responses is 11.45pm on 22 September 2016.  Please complete your contact details below. If you would prefer not to give these details, please provide your postcode only.

The information you provide will be kept in a secure environment only accessible by Highways England and the specific contractor(s) working with us on this project. Your personal information will not be shared with any other individuals or organisations, beyond the provision set out in the provisions of the Freedom of Information Act 200 and Environmental Information Regulations 2004.

The information you submit will only be used in support of the purpose specified in the survey. Personal details are collected only to ensure entries are not duplicated and in order to contact correspondents if necessary. All personal details will be deleted at the end of the survey analysis period.

About the scheme

* 2. Do you think there is a problem with congestion on the A27 Chichester bypass?

* 3. Which issues around the A27 Chichester bypass scheme are you most concerned about?

  Very concerned Concerned No opinion Little concern No concern
Limited capacity
Limited opportunities for economic growth
Congestion
Construction impact
Ecology
Landscape and scenery
Historic properties/features
Impact of scheme on residential properties
Road safety
Regional connectivity

* 4. Please refer to the 5 options that start on page 4 of the online brochure. If you think an option will help achieve one or more of the objectives below, please check all that apply.

  Improve congestion Support economic growth Improve journey times Improve road safety Enable provision of housing to meet demand Improve regional connectivity Reduce adverse environmental impacts
Option 1
Option 1A
Option 2
Option 3
Option 3A

* 5. Please refer to the 5 options that start on page 4 of the online brochure. If you think an option will not help achieve one or more of the objectives, please check all that apply.

  Improve congestion Support economic growth Improve journey times Improve road safety Enable provision of housing to meet demand Improve regional connectivity Reduce adverse environmental impacts
Option 1
Option 1A
Option 2
Option 3
Option 3A

* 6. Do you have any comments on the options? Please note them below:

* 7. Please tell us your preferred option

* 8. Please share your views on any alternative routes we should consider.

About the consultation

* 9. How did you find out about the A27 Chichester bypass improvement scheme consultation (please tick as many as required)?

* 10. Have you found the consultation materials useful in answering your questions?

* 11. If you visited a public exhibition did you find it helpful in addressing your questions?

* 12. Please tell us about your travel habits.
How frequently do you:

  Every day More than 3 times a week Less than 3 times a week Less than once a week Less than once a month Never
Drive on local roads to places inside the Chichester district?
Drive to places outside the Chichester district?
Cycle?
Walk?
Take local buses?
Use a train?
Your views will help to shape the scheme.  All consultation questionnaires received are formally recorded and, in accordance with data protection, your personal details are used solely in connection with the consultation process.
Equality and Diversity
To ensure we are meeting our diversity guidelines please help us by filling in the following section of this questionnaire.  You are not obliged to complete this; the information will only be used by Highways England 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. 

* 13. Age

* 14. Gender

Please tick which group you consider you belong.

* 15. British or mixed British

* 16. South Asian

* 17. Black

* 18. East Asian

* 19. Other ethnic background? (Please specify if you wish)

* 20. Religion: Do you follow a religion or faith?

* 21. Disability: Do you consider yourself to have a disability?

Thank you for completing this consultation questionnaire.
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