Kingston 2025 - Celebrating our past, present and future

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Keep in touch (Please leave your contact details if you would like us to update you about plans for Kingston 2025. You can unsubscribe at any time. View our privacy statement at www.kingston.gov.uk/privacy.)

Email address

First Name *

Surname *

Post Code

What is your connection to the borough? (tick all that apply) *

I live in Kingston

I'm a member of a community group or organisation

I work in Kingston

I go to school/study in Kingston

I'm an elected member

Other:

Required

1. What kind of events and activities would you like to see included in the programme to celebrate Kingston’s past, present and future? *

2. What opportunities would you like to see offered?
*

Volunteering

Learn a new skill

Meeting new people in your community

Experience something new

Other:

Required

3. How would you like to get involved?
*

Take part in an activity

Support or develop a project in your community

Volunteer

Other:

Required

Monitoring Form

Please help us to provide better services for everyone by completing this form. Our ambition is that our services are designed with you and for you, so we meet the needs of our diverse community. It is important to us to understand the reach of our survey which is why we collect information related to your identity.

We know that the monitoring questions are very personal and private. We will treat the information in a sensitive and confidential way as required by The Data Protection Act. This information will be kept confidential. Please tick all of the boxes that apply to you.

1. What is your age?

Under 16

16-24

25-34

35-44

45-54

55-64

65-74

75-84

85+

Prefer not to say

Clear selection

What is your ethnic group?

Choose one option that best describes your ethnic group or background. (Choose all that apply)

White - English / Welsh / Scottish / Northern Irish / British

White - Irish

White - Gypsy or Irish Traveller

White - Any other White Background (please specify below)

Mixed / Multiple ethnic groups - White & Black Caribbean

Mixed / Multiple ethnic groups - White & Black African

Mixed / Multiple ethnic groups - White & Asian

Mixed / Multiple ethnic groups - Any other Mixed / Multiple ethnic background (please specify below)

Asian or Asian British - Indian

Asian or Asian British - Pakistani

Asian or Asian British - Bangladeshi

Asian or Asian British - Chinese

Asian or Asian British - Sri Lankan

Asian or Asian British - Korean

Asian or Asian British - Any other Asian background

Black / African / Caribbean / Black British - Caribbean

Black / African / Caribbean / Black British - African

Black / African / Caribbean / Black British - Any other background (please specify below)

Arab

Any other ethnic group

Prefer not to say

Other:

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If you have selected 'other' in any of the categories above, please describe

Do you have any physical, mental health conditions or illnesses lasting or expected to last 12 months or more? (Choose any one option)

Yes

Prefer not to say

Clear selection

Please select all of the following conditions that apply to you.

Blind or have a visual impairment uncorrected by glasses

Deaf or have a hearing impairment

Neurodiversity such as Autism, ADHD, ADD, dyslexia, dyscalculia and dyspraxia

Long term illness or health condition such as cancer, HIV, diabetes, chronic heart disease of epilepsy

Mental health condition, challenge or disorder, such as depression, schizophrenia or anxiety

Physical impairment (a condition that substantially limits one or more basic physical activities such as walking, climbing stairs, lifting or carrying)

Social/communication conditions such as a speech and language impairment or an autistic spectrum condition

Prefer not to say

None

Other

If you selected other please specify, if you wish

What is your sex?: (Choose any one option)

Female

Male

Prefer not to say

Other

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If you selected other please specify, if you wish

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