Domestic Abuse Strategy Consultation - Residents and Service Users

About You or Your Group

You don't need to give your name, but we need some information about you to ensure our survey is representative of Doncaster residents.

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* 1. What is your Gender ?

Female

Male

Prefer not to say

Other, please state

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* 2. What age range do you fall into?

16 and under

17-24

25-34

35-44

45-54

55-64

65-74

75 and over

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* 3. Please tell us which area you live in, by entering the first 4 digits of your postcode. eg DN1 3

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* 4. Are you completing this survey on behalf of a community group or voluntary organisation?

Yes

No

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* 5. What is the name of your group?

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* 6. What is the purpose of your group?

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* 7. Does your group have specific characteristics, or aim to address specific needs. Please all those which apply or complete other e.g. Traveller Community

Disability

Age e.g. Youth, Older People

Gender

Race

Religion/belief

Sexual orientation

Other (please specify)