Have your say on the future of Princess Elizabeth Way

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1. Have your say on the future of Princess Elizabeth Way
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We are asking for the community’s ideas and aspirations for the area around Princess Elizabeth Way. Once we have listened to what you have had to say, we will look at the options and see what we can achieve given our financial constraints. We will then contact you again so you can let us know what you think of the ideas that we come up with. Equalities monitoring Please only complete this section if you are responding as an individual. We collect this information to build up an accurate understanding of the communities that we serve so that services and policies can be delivered to meet the needs of everybody. Please feel free to leave questions which you do not wish to answer. All of the information gathered in this questionnaire is confidential.

1. Please describe your gender identity?

Male
Female
Prefer not to say

2. Is your gender identity the same as the gender you were assigned at birth?

Yes
No
Prefer not to say

3. How old are you?

4. Do you have a disability?

Yes
No
Prefer not to say

5. If Yes, please tick the appropriate box(es)

6. What is your religion or belief?

7. How would you describe your ethnic origin?

8. Do you have access to the internet at home?

Yes
No
Prefer not to say

9. Name:

10. Address:

11. Postcode:

12. Email address:

13. Please tick all of the statements below that apply to you:

I am a Cheltenham Borough Homes tenant
I live outside of the area but regularly visit
I am attending today’s event as the representative of an organisation (please specify which organisations(s))