ANNEX H

MCA CONSULTATION FEEDBACK FORM

1. Please indicate on which Consultation you are providing feedback:

                                                                                                                                                                                           

2a. Please indicate whether you are responding on behalf of:

Please cross one box

Yourself as an Individual        A Trade Association        A Company        A Government Organisation        
A Trade UnionOther (please specify)

2b. Please indicate whether you accessed this consultation package through:

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Post              Email               Website          

3. Please rate the quality of this consultation regarding accuracy, good English and spelling:

Please cross one box

Very goodGood   AveragePoor   Very Poor

4. Please rate the format of the consultation presentation (layout, Annexes etc):

Please cross one box

Very goodGood   AveragePoor   Very Poor

5. Please rate the consultation in terms of how clear and concise you felt it was:

Please cross one box

Very goodGood   AveragePoor   Very Poor

6. Did you feel that the consultation was conducted over a sufficient period of time?

    Yes                 No            

7. Were any representative groups, organisations or companies not consulted who you felt should have been?

    Yes                 No            

If YES, who?                                                                                   

8. Please let us have any suggestions for improvement or other comments you wish to make about this consultation below:

Thank you for your time. Please return this form to:

Consultation Coordinator
Office of the Chief Executive
Maritime and Coastguard Agency
Bay 3/29, Spring Place
105 Commercial Rd
Southampton
SO15 1EG

Tel: +44 (0) 2380 329189
Fax: +44 (0) 2380 329105

Email: consultation.coordinator@mcga.gov.uk  

If you are happy to supply your name in case we need to contact you to discuss your views further, please enter it below (this is optional and your feedback will still be taken into account if you wish to remain anonymous):

Name:

Tel No:

    

Please note that the deadline for responses to the Consultation itself does not apply to the return of this form.