Tell us what you think We hope this plan helps you to share our vision for the future of Bridgend County Borough. We would like to have your views to help us to finalise the Corporate Plan for 2013-2017. Please consider the improvement priorities and commitments in the draft plan and tell us what you think below. We will consider all the comments we receive and, where appropriate, will revise the plan accordingly. Do you think this plan clearly sets out our priorities and what we will do to achieve them? Bridgend County Borough Council Corporate Plan 2013-2017 Are the priorities described in the plan important to you? Do you think that the measures of success in the plan are the right indicators to tell us if we are succeeding? 2 Bridgend County Borough Council Corporate Plan 2013-2017 What do you think individuals and communities in Bridgend can contribute to help achieve the priorities set out in this plan? Is there anything else you think the plan should cover? 3 Bridgend County Borough Council Corporate Plan 2013-2017 We want to make sure that we are listening to the views of as many different people as we can. We would be grateful if you could answer a few more questions about yourself. The information you supply will be anonymous. It will be kept confidentially and will only be used for the purposes of equalities monitoring. You do not have to answer any of the questions if you do not wish to do so. Alternatively, you can choose to answer some and not others by selecting the ‘prefer not to say’ options. Q1 Are you happy to answer a few more questions about yourself? Yes GO TO Q2 No SURVEY COMPLETED PLEASE GO TO PAGE 9 Q2 What is your date of birth? Please write in dd/mm/yy format in the boxes below Day (dd) Month (mm) Year (yy) Prefer not to say 4 Bridgend County Borough Council Corporate Plan 2013-2017 Q3 Do you consider yourself to be disabled? A disability is a physical or mental impairment which has a substantial and long-term adverse effect on a person's ability to carry out day-to-day activities. Cross [X] one box only Yes Go to Q4 No Go to Q5 Prefer not to say Go to Q5 Q4 If you have answered yes, please indicate below the type of impairment which applies to you. If you experience more than one type of impairment, please cross [X] all the types that apply. Physical impairment, such as difficulty using your arms or mobility issues which means using a wheelchair or crutches Sensory impairment, such as being blind or having a serious visual impairment or being deaf or hard of hearing Mental health condition, such as depression or schizophrenia Learning difficulty, such as Down’s syndrome or dyslexia, or cognitive impairment, such as autism or head-injury Long-standing illness or health condition such as cancer, HIV, diabetes, chronic heart disease, or epilepsy Other (please write in box) Prefer not to say 5 Bridgend County Borough Council Corporate Plan 2013-2017 Q5 Are you? Please cross [X] one box only Male Female Other Prefer not to say Q6 Is your gender the same now as that which you were assigned at birth? Cross [X] one box only Yes No Prefer not to say Q7 How would you describe your national identity? Cross [X] one box only Welsh English Scottish Other (please write in box below Northern Irish British Prefer not to say 6 Bridgend County Borough Council Corporate Plan 2013-2017 Q8 To which of these groups do you consider you belong to? Cross [X] one box only White Welsh / English / Scottish / Northern Irish / British Irish Gyspy Irish Traveller Any other white background (please cross box and write detail in the box at the end of this question) Mixed / multiple ethnic groups White and Black Caribbean White and Black African White and Asian Any other mixed / multiple ethnic background this question) Asian or Asian British Indian Pakistani Bangladeshi Chinese Any other Asian background (please cross box and write detail in the box at the end of (please cross box and write detail in the box at the end of this question) Black/ African / Caribbean / Black British African Caribbean 7 Bridgend County Borough Council Corporate Plan 2013-2017 Any other Black / African / Caribbean background of this question) Other ethnic group Arab Any other ethnic group (please cross box and write detail in the box at the end (please cross box and write detail in the box at the end of this question) Prefer not to say Other (please write in) Q9 What is your religion or belief? Cross [X] one box only No religion Muslim Christian Sikh Buddhist Hindu Any other religion or belief Jewish Prefer not to say Q10 What is your sexual orientation? Cross [X] one box only Heterosexual or straight Bisexual Other Gay man Gay woman/ lesbian Prefer not to say 8 Bridgend County Borough Council Corporate Plan 2013-2017 Q11 What is your marital status? Cross [X] one box only Single Divorced Partnered Widowed Married Civil partnered Prefer not to say Q12 Are you pregnant? Cross [X] one box only Yes No Prefer not to say Thank you very much for taking the time to answer these questions. You can complete this sheet and return it to: The Corporate Improvement Team, Bridgend County Borough Council, Ravens Court, Brewery Lane, Bridgend CF31 3LP You can also give us your feedback via the consultation pages at www.bridgend.gov.uk. Or, email your comments to [email protected]. 9
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