Questionnaire

In order to monitor the effectiveness of our Partnership it would be appreciated if you would complete this form. 

The information will be used in the writing of equality policies, procedures and future action planning.  All information is confidential.

Gender
   


 
Age
   













 
Role
What is your role within the club or Partnership (please tick all that apply)
   
 
     
Disability
  Do you consider yourself to have a disability?  

 
     
(you may wish to use one of the following categories; visually impaired, hearing impairment, physical disability, learning disability, multiple disabilities).
Ethnic Origin
Please tick the appropriate box to indicate your cultural background
   















 
Thank you for taking the time to complete this form
 

If you would rather download this form, please download via the link below. 

Please email your completed forms to: mamoroziuk@cornwall.gov.uk

Or post to:

Cornwall Sports Partnership
Unit 6
Threemilestone Industrial Estate
Truro
Cornwall
TR4 9LD