please provide details Other, About You We want to make sure that everyone is treated fairly and equally, and that no one gets left out. That’s why we’re asking you these questions. We won’t share the information you give us with anyone else. We’ll use it only to help us make decisions, and improve our services. If you would rather not answer any of these questions, you don’t have to. 13. Are you? Male Female not to say Prefer 14. Which of these age groups applies to you? Under 18 18 25 26 35 36 45 46 - 55   –  –  –  56 60 61 65 66 75 76 + I prefer not to say  –  –  –  
Other, please provide details About You We want to make sure that everyone is treated fairly and equally, and that no one gets left out. That’s why we’re asking you these questions. We won’t share the information you give us with anyone else. We’ll use it only to help us make decisions, and improve our services. If you would rather not answer any of these questions, you don’t have to. 13. Are you? Male Female Prefer not to say 14. Which of these age groups applies to you?  Under 18  18 – 25  26 – 35  36 – 45  46 - 55  56 – 60  61 – 65  66 – 75  76 +  I prefer not to say
Questionnaire_03Feb15.docx