<form-template> <fields> <field type="header" subtype="h1" label="The Survey's goal is to gauge the Town's interest and gather input on urban chicken." class="header"></field> <field type="radio-group" required="true" label="1. Do you think residents should be allowed to keep chickens (laying hens) within the Town limits under certain guidelines?" class="radio-group" name="radio-group-1657843900283"> <option value="YES (proceed to Question 2)" selected="true">YES (proceed to Question 2)</option> <option value="NO (proceed to Question 7)">NO (proceed to Question 7)</option> </field> <field type="checkbox-group" label="2. Why do you think chickens should be allowed within the Town limits? (check all that apply) **if you choose OTHER, PLEASE SPECIFY" class="checkbox-group" name="checkbox-group-1658178151769" enable-other="true" other="true"> <option value="a. Education purposes">a. Education purposes</option> <option value="b. Economical reasons">b. Economical reasons</option> <option value="c. Part of a greener lifestyle">c. Part of a greener lifestyle</option> </field> <field type="radio-group" label="3. Have you ever kept chickens or known of anyone in an urban area that has kept chickens for the purpose of urban farming?" class="radio-group" name="radio-group-1658178761203"> <option value="YES" selected="true">YES</option> <option value="NO">NO</option> </field> <field type="textarea" label="4. If yes, please describe any of your positive or negative experiences with urban chickens. If no, enter N/A." class="form-control text-area" name="textarea-1658179928747"></field> <field type="checkbox-group" label="5. If guidelines are written to allow chickens, what restrictions do you think are important to consider? (Check all that apply) *** If you choose OTHER, please specify." class="checkbox-group" name="checkbox-group-1658182021742" enable-other="true" other="true"> <option value=" a. Hens only – NO ROOSTERS" selected="true"> a. Hens only – NO ROOSTERS</option> <option value="b. Lot size">b. Lot size</option> <option value="c. Location of where chickens are contained in the yards">c. Location of where chickens are contained in the yards</option> <option value="d. Mandatory training on how to care for the chickens">d. Mandatory training on how to care for the chickens</option> <option value="e. Minimum distance and screening from other houses">e. Minimum distance and screening from other houses</option> <option value="f. Cleanliness standards">f. Cleanliness standards</option> <option value="g. Size of coops and run area">g. Size of coops and run area</option> <option value="h. No commercial sales of eggs and chickens">h. No commercial sales of eggs and chickens</option> <option value="i. Permission from neighbours">i. Permission from neighbours</option> </field> <field type="radio-group" label="6. What is the maximum number of chickens that should be allowed per property?" class="radio-group" name="radio-group-1658182353443"> <option value="a. 0" selected="true">a. 0</option> <option value="b. 1 -3">b. 1 -3</option> <option value="c. 4 -6">c. 4 -6</option> <option value="d. 7 – 10">d. 7 – 10</option> </field> <field type="checkbox-group" label="7. Why do you think chickens should not be allowed to within the Town limits? (check all that apply) ***If you choose OTHER, please specify." class="checkbox-group" name="checkbox-group-1658182023923" enable-other="true" other="true"> <option value="a. Noise" selected="true">a. Noise</option> <option value="b. Unsanitary">b. Unsanitary</option> <option value="c. Attracts vermin">c. Attracts vermin</option> <option value="d. Bother/threat to domestic animals">d. Bother/threat to domestic animals</option> </field> <field type="radio-group" required="true" label="8. Do you live in the Town of Wembley?" class="radio-group" name="radio-group-1658180671037"> <option value="YES" selected="true">YES</option> <option value="NO">NO</option> </field> <field type="textarea" required="true" label="9. Name (Mandatory)" class="form-control text-area" name="textarea-1658180761746"></field> <field type="textarea" required="true" label="10. Address (physical address ex. 9912 – 186 Street, Wembley) (Mandatory)" class="form-control text-area" name="textarea-1658180788405"></field> <field type="textarea" label="11. Email (optional)" class="form-control text-area" name="textarea-1658180829156"></field> <field type="paragraph" subtype="p" label="PLEASE NOTE: The personal information on this form is being collected in accordance with Section 33(c) of the Freedom of Information and Protection of Privacy Act (FOIP Act) RSA 2000 CF-23. If you have any questions about the collection, use and protection of this information, please contact the Town of Wembley FOIP Coordinator at 780-766-2269 or info@wembley.ca." class="paragraph"></field> </fields> </form-template> Submit Submitting...