CitizenSpace Local

Registration

Sorry but this consultation is currently closed. Although you can still fill out the consultation, your responses will not be collated.

This consultation started on 23/1/2008 and ended on 31/1/2008

The following reports are available:

Shepherds Bush Common Improvement Project

To ensure that we are meeting the needs of all residents it is important that we ask you a few questions about yourself. Your answers will be completely confidential.

What is your name?

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What is your postcode?

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Are you male or female?

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Male
Female

What age group are you?

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16-24
25-44
45-64
65+

Do you or anyone in the household have any long term illness, health problem or disability which limits your daily activities or the work you can do?

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Yes, you
Yes, someone in your household
No, no-one in your household

If yes, what is the nature of the impairment?

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What is your ethnic group?

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White
Mixed Race
Asian or Asian British
Black or Black British
Chinese
Other ethnic group

Please specify if you ticked other ethnic group

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