+61 2 9957 6700 info@russellcorporate.com.au

Licensed Premises: The Greens Gledswood Hills

COMMUNITY CONSULTATION QUESTIONNAIRE

Licensed Premises: The Greens Gledswood Hills LIQC330019634

880 Camden Valley Way Gledswood Hills NSW 2557

By completing this questionnaire you consent to identifying your written comments herein and providing your responses to NSW Independent Liquor & Gaming Authority or NSW Liquor & Gaming. Note that your personal contact details will be redacted but for street name and suburb and published on the website of NSW Liquor & Gaming. Please contact us to discuss options if you have any concerns around publication of your submission.
If making a submission and you choose to withhold your identity, please indicate the reason why you have chosen to do so. NSW Independent Liquor & Gaming Authority may disregard your submission if you do not provide your name and address and do not provide a reasonable explanation for withholding your details.
1. Your name:
2. If relevant, the name of the organisation, person or entity that you represent:
3. Your address:
4. Your postal address if different:
5. Your contact telephone number:
6. Your contact email address:
7. If you have not provided your name and address, please advise why you have withheld these details:
8. What is your place in the community? For example, resident, work nearby, local business, community service provider, special interest group, other etc
9. What is your proximity to the subject licensed premises?
10. Do you have any positive comments on the subject licensed premises? Please describe:
11. Do you have any negative comments on the subject licensed premises? Please describe:
12. Do you have any suggestions to address your concerns and mitigate any negative aspects of the subject licensed premises?
13. Do you have any suggestions to improve the subject licensed premises?
14. Do you have any examples or information to support your feedback?
15. Please upload any examples or information to support your feedback:
16. Would you like us to contact you to discuss your submission further?
Yes, please contact me further
No, no need to contact me
17. Can we contact you to clarify your responses, if required?
Yes, you can contact me if required
No, please do not contact me
18. Do you have a preferred method of communication? If telephone is your preferred method of communication, please advise your preferred days and times to contact you:
19. Do you have any further comments or queries?
20. Do you intend to attend the forthcoming community consultation meeting?
Yes, I plan on attending
No, I cannot attend