Nottingham Women's Centre Service User Panel Registration Form
Thank you for your interest in joining our Service User Panel (SUP).
What issues interest you?
Thank you for agreeing to be part of Nottingham Women’s Centre Service User Panel. The recent implementation of GDPR means we must have your consent to hold your information. You can read NWC GDPR policy on our website at http://bit.ly/NWCGDPRprivacystatement2 or request a hard copy. We will securely hold the information contained in this form. If you decide at any point in the future that you no longer wish to be involved please let us know and we will remove your details. Monitoring of ethnic origin, race and disability etc. by Nottingham Women’s Centre helps us to see if we are reaching all parts of the community and helps us to address any gaps that we may identify through monitoring.
Name (First name, Surname)
Your answer
Email address
Your answer
Phone number
Your answer
Post code
Your answer
Employment status
Age
Gender
Sexual Orientation
Do you consider yourself to have a disability
Ethnic Origin
Preferred method of involvement. This is the way you wish to be involved in giving your feedback.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.