Your Seas, Your Voice questionnaire

If you have any problems using this form, please email Jean-Luc Solandt.

Please note that ALL fields that are required fields appear in RED.

Title:

Firstname:

Surname:

Address Details

Address Line 1:

Address Line 2:

Town:

County:

Postcode:

email:

Data Protection: MCS may wish to contact you about other MCS campaigns and appeals. If you prefer NOT to receive this information please tick the box below.

Interest Group

How do you use the marine environment? (list the top five activities from 1st to 5th most relevant to you)

1st

2nd

3rd

4th

5th

Site Details

Site Name:

Site Location:

Latitude:

Longitude:

Nearest Town:

OS Grid Ref:

Site County:

Site Country:

Reasons why you have selected this area/region.

Please indicate the reasons why you have selected this area/region. Please add any additional information in the comments area below.

Sessile species protection(eg Pink Seafan, Nudibranchs)

Most Important		Least Important
1	2	3	4	5

Species Name

Mobile species (eg Seals, Dolphins, Whales)

1	2	3	4	5

Species Name

Habitat protection (eg Reef, Maerl bed, Kelp Forest)

1	2	3	4	5

Species Name

Diversity of wildlife

1	2	3	4	5

Underwater scenery

1	2	3	4	5

Current / Drift Diving

1	2	3	4	5

Diversity of topography

1	2	3	4	5

Unusual geology

1	2	3	4	5

Easy access

1	2	3	4	5

Isolation

1	2	3	4	5

Wreck

1	2	3	4	5

Snorkelling

1	2	3	4	5

Least impacted

1	2	3	4	5

Most impacted

1	2	3	4	5

Other (please state below)

1	2	3	4	5

Other Reason (from above)

Which activities should be restricted?

What activities should be restricted from the site (list the top five activities from 1st to 5th most important)

1st

2nd

3rd

4th

5th

marine protected areas

kate humble statement

marine protected areas

your seas, your voice

marine reserves campaign

marine protected areas

marine reserves

Your Seas Your Voice questionnaire