Consultation questionnaire

We would like to hear your opinion on the themes we have identified, the evidence we have gathered and our future plans for disability equality.  Please provide as full a response as you are able, including reasons for your response and additional evidence, if possible.

To leave your feedback please select the question(s) or key theme(s) you wish to comment on from the list below. When a theme is selected a text box will appear for each, containing a link to the relevant section of the online Disability Equality Scheme. Once you have read the section of interest, please press the 'back' button to return to the survey and write your comments in the text box.

Please also complete the monitoring sections of this questionnaire so that the GLA can ensure that it has reached as wide a range of consultees as possible.

	Please indicate if you are responding as an individual or on behalf of an organisation?
	Individual (please complete the contact details section at the end of this questionnaire (optional))
	Organisation

Please complete the following about your organisation.  We will be able to send you the outcome of the consultation at the end of the year.

	Name
	Position
	Organisation
	Address
	Contact telephone
	Email
	Please state what your organisation does

	Please tell us the number of people your organisation employs
	0 - 49
	50 - 249
	250 +

	We would like your views on the following:
	Have we chosen the right themes?
	Is there any additional evidence we have missed?
	Are we planning to do the right things?

Please state what your organisation does

	Would you like to comment on any of the themes? (the text will appear with the relevant links to )
	Housing
	Transport
	Crime and Community Safety
	Planning
	Income and poverty
	Employment
	Health & Social Care
	London 2012 Olympic and Paralympic Games
	Sport and physical activity
	Culture
	GLA as an employer

	Would you like to make any other comments?
	Comments on the scheme as a whole
	General comments on the equality work of the GLA

	Have we chosen the right themes?

	Is there any additional evidence we have missed?

	Are we planning to do the right things?

	Housing: Click here to read this section before making comments

	Transport: Click here to read this section before making comments

	Crime and Community Safety: Click here to read this section before making comments

	Planning: Click here to read this section before making comments

	Income and poverty: Click here to read this section before making comments

	Employment: Click here to read this section before making comments

	Health and Social Care: Click here to read this section before making comments

	London 2012 Olympic and Paralympic Games: Click here to read this section before making comments

	Sport and physical activity: Click here to read this section before making comments

	Culture: Click here to read this section before making comments

	GLA as an employer: Click here to read this section before making comments

	Do you have any other comments regarding the scheme as a whole?

	Please use the space below to if you have any other general comments about the equality work of the GLA

About you

The information that you provide will be handled by GLA in accordance with the Data Protection Act 1998.  Your information will be used only for statistical purposes.  No individual will be identifiable from the results and no identified data will be passed on to any other organisation.

	Gender
	Female		Male

	Do you consider yourself to have a disability?
	Yes		No

	What is your ethnic background?
	White British		Asian or Asian British Pakistani
	White Irish		Asian or Asian British Bangladeshi
	White - any other background		Asian any other background
	Mixed White and Black Caribbean		Black or Black British Caribbean
	Mixed White and Black African		Black or Black British African
	Mixed White and Asian		Black or Black British - any other background
	Mixed - any other mixed background		Chinese
	Asian or Asian British Indian		Any other background

	If other, please state

	What is your religion
	No religion		Jewish
	Christian (including Church of England, Catholic, Protestant and all other Christian denominations)		Muslim
	Buddhist		Sikh
	Hindu		Any other religion

	If other, please state

	Which of the following best describes your sexual orientation?
	Heterosexual		Lesbian or gay
	Bisexual		Prefer not to say

	What age are you:
	Under 16		45-54
	16-24		55-64
	25-34		65+
	35-44

If you would like your details to be held on the GLA mailing list and be notified of future developments of the Disability Equality Scheme, please fill in your contact details below

	Name
	Address 1
	Address 2
	Address 3
	Postcode
	email address

Thank you very much for your time