Water Orton Health Concerns

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1. Data Consent Form

The purpose of this survey is to enable the simple aggregation of potential medical impacts caused by the work relating to HS2 within the village of Water Orton. The infomration provided will also allow for simple analysis to "map" responses by location of residence and other demographic groups and see if any area or group are particularly affected. 

Your confidentiality and privacy are of key importance, no personal data such as name or contact details will be collected. Apart from this consent form no question requires any specific answer and any extra questions may be ignored should you not wish to detail any specific information. 

To see how any responses you make will be collected, stored and transfered please click here
 

1. Do you consent to the information you submit being used and held in line with the statements made above? *