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CYP and Families SEND Community Activities Feedback
Page 1 of 4
Closes
22 Sep 2024
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About You
1. Please tell us who is completing the survey?
Child / young person
Parent / guardian with child / young person
Parent / guardian
2. What is the age of the child/ young person?
Age
3. What is your post code?
Post code
4. What is the ethnic origin of the child / young person?
Ethnicity
-- Please Select --
White - English, Welsh, Scottish, Northern Irish or British
White - Irish
White - Gypsy or Irish Traveller
White - Roma
White - Other
Mixed or Multiple Ethnic Groups - White and Black Caribbean
Mixed or Multiple Ethnic Groups - White and Black African
Mixed or Multiple Ethnic Groups - White and Asian Other Mixed or Multiple background
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi
Asian or Asian British - Chinese
Other Asian background
Black, Black British, Caribbean or African - Caribbean
Black, Black British, Caribbean or African - African background, write in below
Other Black, Black British or Caribbean background
Other Ethnic Group - Arab
Other ethnic group
Prefer not to say
5. What is the gender of the child / young person?
Female
Male
Non - Binary
Other
Prefer not say
6. Would you like to share the diagnosis of the child / young person with us?
Yes
No
If yes, please state diagnosis
Continue
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