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Your Feedback

Please use the form below to submit comments, complaints and compliments online.

Title	MrMrsMissMsOther
Name
Address
Postcode
Email
Daytime Telephone
Comment/Complaint/Compliment
Is the complaint about racial harassment?	YesNo
What action do you think we should take?
Consent Statement If you are making a complaint please agree to allow the collection of all relevant information from accross the council (e.g. case files or other documents held by the council), in order to fully investigate my complaint.	YesNo
Gender	ManWoman
Age	16-2526-3132-3738-43 44-4950-5556-6162-65 65+
Please state how many children are living in your home in the following age groups	0-5 6-12 13-16
Equal Opportunities We operate an Equal Opportunities policy. To ensure the effectiveness of this policy you are asked to complete this form, which will be treated as confidential and used for statistical purposes.
Do you have a disablility?
Ethnicity	Undeclared Asian or Asian British Bangladeshi Indian Kashmir Pakistani Other Black or Black British African Other Caribbean Mixed White & Asian / White & Black African White & Black Other White & Carribean White British Other Irish

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