Name: (optional)
Contact number: (optional)
Date:
Time:
Direction:
Weather:
Number in group or single:
Location What you experienced What you observed
Evans Pass Road and Summit Road intersection
Nayland Avenue and Wakefield Avenue intersection
Wakefield Avenue at pedestrian crossing
Main Road at Redcliffs supermarket
Main Road and McCormacks Bay Road intersection
Main Road and Mount Pleasent Road intersection
Main Road and Bridle Path Road intersection
Bridle Path Road and Port Hills Road intersection
Port Hills Road Underpass (Tunnel Road Bridge)
On completion of the above comments sheet please email directly to Jeff Owen Below. Thanks for taking the time to make a difference for Christchurch.
Jeff Owen
ViaStrada
Level 6, Link Centre
152 Hereford Street, PO Box 20 435
Christchurch, New Zealand
Tel (03) 343 8227
Mob 0274 912 026
Fax (03) 366 7603
Email jeff@viastrada.co.nz
Web www.viastrada.co.nz