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Disability Equality Scheme questionnaire

The council has produced a Disability Equality Scheme which sets out what we intend to do for people with disabilities over the next three years.

We want to know your views by asking you to complete this questionnaire, which should take approximately 10 to 15 minutes.

Please note that fields marked * must be filled in.

Section 1 About you
Do you consider yourself to have a disability? *

If yes, how would you describe your disability?








We understand that language can have an impact on people's feelings. To make sure that we are using language that you are comfortable with can you please tell us:
Do you prefer the term? (Tick 1 box only)




Do you provide care for another adult or disabled child? (Tick 1 box only)

If yes, how many hours a week in total do you provide care? (Tick 1 box only)





Do you rely on another person? (Tick all that apply)








Do you feel part of your community?

Do you want to feel more part of your community?

Do you want to find support from people in the same or similar circumstances as you?

Do you want to support someone else in the same or similar circumstances as you?

Section 2 Getting around Knowsley
Tick the things that are a problem when you travel in Knowsley?








Section 3 Information, communication and consultation
Which of the following are most useful or important to you? (Tick all that apply)













How well does each of the following meet your needs?
Audio Tape



Braille



Easy read (using pictures)



Large print



Plain English



Translation



Minicom



SMS



Email



Internet



Telephone including TypeTalk



None of above





Are you already a member of a community/interest group or forum?





Would you like to be involved in a disability forum to inform Council services? (Tick 1 box only)

If, yes please make sure that you include your name and address at the end of this questionnaire
Section 4 Life Long Learning
Would you attend any of the course types below? (Please tick all that apply)










What would make it easier for you to attend an adult learning course? (Tick 1 box only)








Section 5 Leisure and Culture
What would make you more likely to attend our: Leisure centre?





What would make you more likely to attend our: Libraries?





What would make you more likely to attend our: Museum (Prescot)





What would make you more likely to attend our:Parks and open spaces







What activities would you consider taking part in at the following?;



Section 6 Crime and feeling safe
Are you aware of the Council's Hate Crime Line? (Tick 1 box only)

Have you ever been bullied or harassed because of your disability? (Tick 1 box only)

If yes, did you contact the Council's hate crime line? (Tick 1 box only)


Section 7 Housing
How long have you lived in Knowsley? (Tick 1 box only)




What type of accommodation do you live in? (Tick 1 box only)





If you have ticked "my own home" please answer the following questions, if not please go to the bottom of the page.
How well is your property adapted to meet your needs (Tick 1 box only)



Are you on a waiting list to have your property adapted to meet your needs? (Tick 1 box only)

If yes how long have you been on the waiting list? (Tick 1 box only)







Section 8 Monitoring information
To make sure we are getting the views of a broad spread of the community please complete the following section about you.
Are you..?

What age were you on your last birthday?





Which ethnic group do you consider yourself to belong to?


















Gypsies and Travellers



*Traveller(Travellers are defined as a specific ethnic group who may also belong to a variety of racial backgrounds. For this reason, if you consider yourself to be a traveller, you may also tick another category which indicates your racial background.)

Do you identify with any of the following belief systems?








What is your sexual orientation?





Thank you for taking the time to complete this questionnaire. All responses will be formulated into a report that will be published on the internet.
Section 9 Contact details
Please leave your details if you would like feedback on what we have done with the information you have provided or if you would like to be included in future consultation. Your details will only be used in this survey and will not be passed on to anyone else.




How would you prefer to be contacted? Please tick


 
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