Please spare a few minutes to complete this questionnaire and help us make sure that Neighbourhood Forums meet the needs of Bradford district residents.  Your replies will be confidential and anonymous unless you use the option to provide us with your contact details because you would like us to contact you.

Many thanks for taking part. Please click 'Next' to continue.

Neighbourhood Forums attended

Q1	Have you attended a Neighbourhood Forum in the last 12 months?
	Yes		No

	What are the reasons why you haven't been to a Neighbourhood Forum in the last 12 months? Please tick all that apply.
	Inconvenient day / evening
	Inconvenient time
	Inconvenient location
	Not had the time to spare
	Family commitments
	Other reason(s) - please specify

Q2

What was the name of the LAST Neighbourhood Forum you attended?

--Click Here--AllertonAllerton & Lower GrangeAllerton and Lower Grange - Streets AheadAmbler Thorn & QueensburyBaildon - Lower Baildon Village BankfootBarkerendBeechcliffe / UtleyBierleyBingleyBingley Town Bolton Bracken Bank / IngrowBradford MoorBradford Moor & Thornbury WomenBraithwaiteBurley-in-WharfedaleButtershawCanterbury & Little HortonClaytonClayton Heights CoopervilleCottingleyCrag, Owlet and Bolton WoodsCrossflatts & MicklethwaiteCullingworthDaisy HillDelph HillDenholmeDuckworth Lane East BowlingEast MortonEccleshillEldwick & GilsteadEsholtFagleyFairweather GreenFell Lane / Exley HeadFenbyFerncliffe, Crosley Wood & Lower GilsteadFrizinghallGirlingtonGreat HortonHainworth WoodHardenHaworth Haworth Road Heaton Village HighfieldHirst WoodHolme WoodHolme Wood - Streets AheadHolycroft / Lund ParkHorton GrangeIdleKeighleyKeighley South - Streets AheadKings Park LawkholmeLaycockLidget Green & ScholemoorLilycroftLittle HortonLong LeeLow MoorLow Moor & OakenshawLower Grange & AllertonLower Wyke ManninghamMarshfieldsMenstonMiddle Baildon & FerniehurstNab Wood, Moorhead & NorthcliffeOakenshawOakworthOdsal & WibseyPark Lane ParksidePollard Park & Otley RoadRavenscliffe & GreengatesRiddlesdenRooleySaltaireSandy Lane Scholemoor & Lidget GreenShipley CentralShipley East - Streets AheadSilsdenSouth WestSteeton / EastburnThackleyThornburyThornton Thorpe EdgeTong StreetUndercliffeValley RoadWest BowlingWibseyWibsey & OdsalWilsdenWindhill & West RoydWoodsideWroseWykeWyke - LowerNOT LISTED ABOVE

	Please name the Forum

Satisfaction

Q3	How satisfied or dissatisfied were you with the way this Neighbourhood Forum was organised and chaired?
	Very satisfied	Satisfied	Dissatisfied	Very dissatisfied

Q3a	How satisfied or dissatisfied were you that you were able to influence decisions affecting your neighbourhood?
	Very satisfied	Satisfied	Dissatisfied	Very dissatisfied

Q3b	If you wish, please use this space to explain the reasons for your answers.

Satisfaction

Q4	Please use this space for comments or suggestions about how Neighbourhood Forums might be improved.

About you

Please answer the following questions to allow us to check that we receive a good cross section of replies.  This information will be confidential and will not be used to try to identify individuals.

	Are you male or female?
	--Click Here--MaleFemale

	What age group are you in?
	--Click Here--Under 1718 to 2425 to 3940 to 5960 to 69Over 69

	Do you consider yourself to be disabled?
	--Click Here--YesNo

Which of these describes your ethnic background?

--Click Here--White - BritishWhite - IrishWhite - Other  (tick and specify below)Mixed - White & Black CaribbeanMixed - White & Black AfricanMixed - White & AsianMixed - Other (tick and specify below)Asian - IndianAsian - PakistaniAsian - BangladeshiAsian - Other (tick and specify below)Black - AfricanBlack - CaribbeanBlack - Other (tick and specify below)ChineseAny other ethnic group (tick and specify below)

	'Other' ethnic background - please specify

	Please enter your postcode to allow us to make sure we receive a good geographical coverage.

Thank you for completing this questionnaire - your feedback is most appreciated.

	If you would like us to get back in touch with you about any issues you have raised, please provide your contact details below.
	Name

Telephone

Email

Please click 'Submit' to send your replies.