Consultation on Changes to Childcare Inclusion Funding for School-age Children Attending Out of School Childcare (After-School Clubs and Holiday Playschemes)

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* 1. How are you responding to the consultation?

As an out of school childcare provider

As a parent carer of a child with SEND who currently receives childcare inclusion funding

As a parent carer of a child with SEND who has received childcare inclusion funding in the past

As a parent carer of a child with SEND who may wish to receive childcare inclusion funding in the future

Other (please state)

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* 2. To what extent do you support the proposals outlined above?

Fully support

Partially support

Unsure

Do not support

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* 3. Please use the box below for any additional comments relating to the proposal

Equalities monitoring questions

We are asking these questions to make sure that we have views from across the city. Your answers help us check that we have met the law and help improve our services. You do not have to answer these questions; however, by doing so you will help us improve our services. The answers you provide will be collated with all equalities data we collect, thereby ensuring that individuals will not be identified. We will use this information in a completely anonymous and confidential manner and protect your information in accordance with the Data Protection Act (1998).

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* 4. What is your postcode?

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* 5. What is your employment status?

Working full-time (including self-employed)

Working part-time (including self-employed)

Student/studying

Not in paid employment (including looking after family/home)

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* 6. What is your partner's employment status?

Not applicable (single parent)

Working full-time (including self-employed)

Working part-time (including self-employed)

Student/studying

Not in paid employment (including looking after family/home)

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* 7. What age are you in years?

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* 8. What gender are you?

Male

Female

Prefer not to say

Other

please state

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* 9. How would you describe your ethnic origin?

English/Welsh/Scottish/Northern Irish/British Irish

Irish

Gypsy or Irish Traveller

Any other White background

Bangladeshi

Indian

Pakistani

Chinese

Any other Asian background

African

Caribbean

Any other Black background

Asian & White

Black African & White

Black Caribbean & White

Any other mixed background

Arab

Any other ethnic group

Prefer not to say

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* 10. Which of the following best describe your sexual orientation?

Heterosexual/ Straight

Lesbian/ Gay woman

Gay man

Bisexual

Other (please state)

Prefer not to say

Other (please specify)

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* 11. Do you identify as the gender you were assigned at birth?

Yes

Prefer not to say

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* 12. What is your religion or belief?

I have no particular religion

Buddhist

Christian

Hindu

Jain

Jewish

Muslim

Pagan

Sikh

Agnostic

Atheist

Other (please state)

Other philosophical belief (please state)

prefer not to say

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* 13. Are your day to day activities limited because of a health problem or disability that has lasted, or is expected to last, at least 12 months?

Yes a little

Yes a lot

Prefer not to say

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* 14. Are you a carer?

Yes

Prefer not to say