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New Anti-Dumping Initiative in Your Community

1. One a scale of one to six (six being the biggest) what are the biggest problems the campaign should focus on? Note: for the following table each column is restricted to a single answer across all rows.

	1	2	3	4	5	6
Rubbish dumping around communal waste bin sites	Rank Rubbish dumping around communal waste bin sites as 1 out of 6	Rank Rubbish dumping around communal waste bin sites as 2 out of 6	Rank Rubbish dumping around communal waste bin sites as 3 out of 6	Rank Rubbish dumping around communal waste bin sites as 4 out of 6	Rank Rubbish dumping around communal waste bin sites as 5 out of 6	Rank Rubbish dumping around communal waste bin sites as 6 out of 6
Bulky waste dumping (mattresses etc.) around communal waste bin sites	Rank Bulky waste dumping (mattresses etc.) around communal waste bin sites as 1 out of 6	Rank Bulky waste dumping (mattresses etc.) around communal waste bin sites as 2 out of 6	Rank Bulky waste dumping (mattresses etc.) around communal waste bin sites as 3 out of 6	Rank Bulky waste dumping (mattresses etc.) around communal waste bin sites as 4 out of 6	Rank Bulky waste dumping (mattresses etc.) around communal waste bin sites as 5 out of 6	Rank Bulky waste dumping (mattresses etc.) around communal waste bin sites as 6 out of 6
Rubbish dumping around tree bases and on pavements	Rank Rubbish dumping around tree bases and on pavements as 1 out of 6	Rank Rubbish dumping around tree bases and on pavements as 2 out of 6	Rank Rubbish dumping around tree bases and on pavements as 3 out of 6	Rank Rubbish dumping around tree bases and on pavements as 4 out of 6	Rank Rubbish dumping around tree bases and on pavements as 5 out of 6	Rank Rubbish dumping around tree bases and on pavements as 6 out of 6
Bulky waste dumping around tree bases and on pavements	Rank Bulky waste dumping around tree bases and on pavements as 1 out of 6	Rank Bulky waste dumping around tree bases and on pavements as 2 out of 6	Rank Bulky waste dumping around tree bases and on pavements as 3 out of 6	Rank Bulky waste dumping around tree bases and on pavements as 4 out of 6	Rank Bulky waste dumping around tree bases and on pavements as 5 out of 6	Rank Bulky waste dumping around tree bases and on pavements as 6 out of 6
Business waste storage and collections	Rank Business waste storage and collections as 1 out of 6	Rank Business waste storage and collections as 2 out of 6	Rank Business waste storage and collections as 3 out of 6	Rank Business waste storage and collections as 4 out of 6	Rank Business waste storage and collections as 5 out of 6	Rank Business waste storage and collections as 6 out of 6
Dog fouling	Rank Dog fouling as 1 out of 6	Rank Dog fouling as 2 out of 6	Rank Dog fouling as 3 out of 6	Rank Dog fouling as 4 out of 6	Rank Dog fouling as 5 out of 6	Rank Dog fouling as 6 out of 6

2. Are there any other problem you think the council should focus on?

3. Can you suggest a slogan to use on posters and campaign materials (maximum 20 words)? For example 'I live here too and don't want to see your rubbish every day'

4. Are there any specific locations we should focus on?

5. Are there any particular times of day or week when dumping is particularly bad? (Please select as many as appropriate)

6. Would you be interested in attending a meeting to discuss the campaign and area issues?

7. If you are interested attending further meetings and discussions in the future please fill out your contact details below:

First Name

Last Name

1st line address

2nd line address

City

Post code

Email Address

Phone Number