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HIGHWAYS LOCALISM - CONSULTATION SURVEY
Decisions made over the spending of a £2m budget of highway related work in Brentwood will now be taken locally. Residents of Brentwood now have the opportunity to influence where their local highways spending is directed and to highlight what priorities matter to them regarding maintenance, repairs and improvements to the highways. To ensure your views are heard, please could you provide us with ten minutes of your time to complete this questionnaire.
1. Are you a Brentwood resident?
2. Gender
3. Age
4. Disability Do you consider you have a disability?
5. Please view the following list of options and enter the letter of the three most important to you in the boxes below. (Option 1 being most important)
a. Footway repairs
b. Highway repairs such as resurfacing
c. Verge and highway tree maintenance
d. Pedestrian crossings
e. Waiting restrictions & yellow lines
f. Traffic management including calming measures & signals
g. Junction improvements including traffic lights & mini roundabouts
h. Speed limits
i. New street furniture
j. Repairing bus shelters
k. Clearing weeds and overgrowth
l. Clearing of litter and fly tipped items
m. Provision of residents parking
n. Don't know
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Please enter the corresponding letter in the approriate boxes below.
(e.g. If you have chosen Speed limits as your most important choice enter h in Option1)
Option 1
Option 2
Option 3
7. In your opinion, which of the following statements best describes the current appearance and condition of the highways in Brentwood?
8. How do you prefer to be communicated with by Brentwood Borough Council?
6. Thinking about the Borough as a whole, in your opinion, please name two specific areas most in need of highway improvements, please give reasons for your suggestions.


1.
2.

Please provide a reason for your answer
Name (Optional)
Postcode
Tel No.
Postal Address
White
Mixed
Chinese & other ethnic groups
Black or Black British
Asian or Asian British
11. ETHNIC ORIGIN How would you describe your ethnic origin?
9. Do you have a suggestion for how Brentwood Borough Council could effectively engage with residents across the Borough?
10. Would you be willing to supply an email address, telephone number or postal address in order that the Council could consult with you on local issues in future?

Email
Please provide a reason for your answer
Any other comments
12.
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