Business Link Northwest Online Survey

Thank you for taking the time to complete our short survey. It should take no more than 2 minutes to complete.

1. Gender

Gender Male

Female

2. What is your age range?

What is your age range? 16-20

21-30

31-40

41-50

51-60

61-70

71+

3. Which of the following best describes your employment status?

Which of the following best describes your employment status? Self Employed Employee in full time job Employee in part time job Job seeker	Retired Full time education Looking after family/home
Other (please specify)

4. If you are in employment, what is your pattern of work?

If you are in employment, what is your pattern of work? 9-5 office hours

Mainly evenings

Mainly nights

Mixture

Other (please specify)

5. To which of these groups do you consider you belong?

To which of these groups do you consider you belong? Prefer not to say White - British White - Irish White - Other Mixed - White and black Caribbean Mixed - White and black African	Mixed - White and Asian Mixed - Other Asian or Asian British - Indian Asian or Asian British - Pakistani Asian or Asian British - Bangladeshi Asian or Asian British - Other	Black or Black British - Caribbean Black or Black British - African Black or Black British - Other Chinese or other ethnic group
Other (please specify)

6. Under the definition of the 1995 Disability Discrimination Act, Do you consider yourself to be disabled?

Under the definition of the 1995 Disability Discrimination Act, Do you consider yourself to be disabled? No

Yes

If Yes, please give details

Business Link Northwest is a trading name of Northwest Business Link, registered in England with company number 6060925. Northwest Business Link is registered under the Data Protection Act 1998 and takes all necessary steps to ensure that your personal data is held securely and processed fairly and lawfully. We ensure that data about you is officially obtained or provided, entered accurately and kept up to date.

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