Access Audit - Diverse City
Diverse City is committed to providing access for people that work with us and participate in our events.
Please use this form to tell us about your access needs. Anything you tell us is confidential. Screen-readable format is available.

Additional access provision is available depending upon requirements.

We are also happy to talk to you about access with you in person or in a separate email.
If you need help completing this form: Access Contact Becky Chapman on 07952619763 or email becky@diversecity.org.uk

Your Name *
Your answer
Email/phone number if we need to get in touch about access. *
Your answer
Do you need to be met from public transport? *
Required
Do you need audio description/building orientation/sighted guide? *
If applicable, please tell us your communication access requirements
Do you require wheelchair access? *
Do you have a mobility impairment that restricts the use of steps? *
Please tell us the written format you prefer *
Please tell us your preference for documents
If you would like adapted or special seating, please describe your needs.
Your answer
Do you need frequent breaks that would affect scheduling? *
If applicable, please let us know of dietary requirements.
Your answer
Please tell us any other information about your access requirements that we should know.
Your answer
Thank You
Thank you for providing this information, your help in getting access right is invaluable. We are always learning.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service