Barnes Hospital - Public Consultation September 2018 Feedback form Question Title * 1. Contact details: Name Address Postcode Email Telephone Question Title * 2. Please indicate which of the following apply to you: Live locally Work locally Service user Are a member of a local residents' group or amenity society (If so, please specify which one) Question Title * 3. Please indicate your level of interest in the following aspects of the proposals: Delivering modern world-class health services for Richmond residents Very Important Important Neutral Not Important Please explain the reason for your answer: Question Title * 4. Please indicate your level of interest in the following aspects of the proposals: A new integrated community healthcare facility to serve residents in the borough of Richmond Very Important Important Neutral Not Important Please explain the reason for your answer: Question Title * 5. Please indicate your level of interest in the following aspects of the proposals: New homes including affordable homes Very Important Important Neutral Not Important Please explain the reason for your answer: Question Title * 6. Please indicate your level of interest in the following aspects of the proposals: Regeneration of disused land which currently attracts antisocial behaviour Very Important Important Neutral Not Important Please explain the reason for your answer: Question Title * 7. Please indicate your level of interest in the following aspects of the proposals: Provision of a new Special Educational Needs School Very Important Important Neutral Not Important Please explain the reason for your answer: Question Title * 8. Do you support the revised plans for Barnes Hospital? Yes No Unsure Neutral Comments Question Title * 9. How did you hear about the event? Email Newsletter Word of mouth Social media Other (please specify) Question Title * 10. Did you find the event informative? Yes No Question Title * 11. Would you like to be kept informed about the planning application? Yes No Done