Thetford Plan for Neighbourhood Survey

Fields marked with * are required
Part 1
1. 1. What is your sex?*
  
  Male
  
  Female
  
  Other
  
  Prefer not to say
2. 2. Is the gender you identify with the same as your sex registered at birth?*
  
  Yes
  
  No
  
  Prefer not to say
3. 3. What is your age group? (select one)*
  
  0-15
  
  16-24
  
  25-34
  
  35-44
  
  45-54
  
  55-64
  
  65+
4. 4. What is your ethnic group?*
  
  Asian or Asian British
  
  Black, African, Caribbean, or Black British
  
  Mixed or multiple ethnic groups
  
  White
  
  Other
5. 5. What is the postcode of your home address?*
6. 6. If you live in Thetford, how long have you lived in the town? *
  
  0-5 years
  
  5-10 years
  
  10-15 years
  
  15+ years
  
  I don't live in Thetford
7. 6A. If you don’t live in Thetford, what is your connection to the town?
  
  Work in the town
  
  Visit the town
  
  Family and/or friends living in the town
  
  Interest in the town
  
  Other
8. Please provide details of other
9. 7. Do you wish to be engaged further/kept informed?*
  
  Yes
  
  No
10. Do you have an email?
  
  Yes
  
  No
11. Please provide your email
12. Please provide a contact number