CONSULTATION RESPONSE FORM

Please tick and comment as appropriate

Is the purpose of the draft Revised Single Equality Scheme 2010 - 2013 clear?
	Yes		No		Partially

Comments:

Is there anything we have not included in the draft Revised Single Equality Scheme 2010 - 2013 that you think should be included?
	Yes		No

Comments:

Do you think the actions in the draft Revised Single Equality Scheme Action Plan (Appendix 1) will help the Council to achieve its commitments on equality and diversity?
	Yes		No		Partially

Comments:

Do you have any suggestions for including other actions in the draft Revised Single Equality Scheme Action Plan (Appendix 1)?
	Yes		No

Comments:

How do you think the Council should involve its stakeholders (including residents) in the continued development of its Revised Single Equality Scheme 2010 - 2013? Comments:

Would you like to make any other comments on the draft Revised Single Equality Scheme/Action Plan 2010 - 2013? Comments:

Are you an employee of Babergh District Council?
	Yes		No

If yes, please complete the following questions. If no, please go to Monitoring Section

Have you any suggestions how the Council can involve staff in the continued development of the Revised Single Equality Scheme 2010 - 2013?
	Yes		No

If yes, please give details here.

What further training and development opportunities do you think the Council should offer staff in relation to Equality and Diversity? Comments

Monitoring We would be grateful if you could help us by completing the following questions.  Please tick appropriately.

Age:
	Under 16		45 - 54		No
	17 - 24		55 - 64		Partially
	25 - 34		65 - 74
	35 - 44		75 and over

Gender
	Female		Male		Transgender

Disability: Do you consider yourself to have a disability?  (The Disability Discrimination Act defines disability as “a physical or mental impairment which has a substantial and long-term adverse effect on your ability to carry out normal day to day activities”.)
	Yes		No

Ethnic Group:
	White - British		Asian or Asian British - Indian		Mixed - White and Asian
	White - Irish		Asian or Asian British - Pakistani		Other Mixed background
	White - other white background		Asian or Asian British - Bangladeshi		Chinese
	Black or Black British - Caribbean		Other Asian background		Other Background
	Black or Black British - African		Mixed - White and Black Caribbean
	Other Black background		Mixed - White and Black African

Religion/belief:
	Christian		Jewish		Other Religion
	Buddhist		Muslim		No Religion
	Hindu		Sikh

Sexual Orientation:
	Heterosexual		Gay woman		Prefer not to say
	Gay man		Bisexual

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