We are continually aiming to improve our service to our customers and we are interested in hearing what you think and how you feel about the service we are currently providing.   Please can you take a few minutes to complete the following questionnaire.

1.	Thinking about your recent communication with the council tax office please rate the following statements.
		Strongly agree		Agree		Neither agree or disagree		Disagree		Strongly disagree		N/A
	I can contact the council tax office in a way which suits me.
	My enquiry was dealt with in a timely manner.
	My enquiry was fully dealt with.
	The information given to me by phone, letter or in a notification was clear and easy to understand.

2.	Taking everything into account, how satisfied were you overall with the service you received from the council tax office?
	Very satisfied
	Fairly satisfied
	Neither satisfied nor dissatisfied
	Fairly dissatisfied
	Very dissatisfied

3.	Please use the space below to give us your comments on our service.  We would also be pleased to have your suggestions on how our service could be improved.  If you expect us to reply, please remember to give us your name, address and email address.

	Your name

	Your address

	Your email address

Equality Monitoring

A bit about you

We want to be sure that everyone who uses  our services is treated equally. Answers to the following questions will tell us more about our customers. Any information you give will be treated in the strictest confidence and will be used only to help us to improve our services. It will not be linked to you as an individual. You do not have to fill this in but it will help us if you do.

Choose the sections from 4.a to 4.f that apply, then tick the appropriate box to indicate your ethnic background.

4.a	White
	British
	Irish
	Other White

	Please specify

4.b	Mixed
	White and Black Caribbean
	White and Black African
	White and Asian
	Other Mixed

	Please specify

4.c	Asian or Asian British
	Indian
	Pakistani
	Bangladeshi
	Other Asian

	Please specify

4.d	Black or Black British
	Caribbean
	African
	Other Black

	Please specify

4.e	Chinese or other ethnic group
	Chinese
	Any other ethnic group

	Please specify

4.f	Traveller
	Gypsy/Romany
	Irish
	Any other Traveller

	Please specify

5.	Gender
	Male
	Female
	Trans-gender
	Trans-sexual

6.	Age
	15 and under
	16-19
	20-29
	30-39
	40-49
	50-59
	60-69
	70-79
	80 and over

7.	Marital status
	Single
	Married
	Civil partnership
	Widowed
	Partner or co-habiting
	Divorced

8.	Religion or belief
	Christian (including Church of England, Roman Catholic and all other denominations)
	Muslim
	Judaism/Jewish
	Hinduism
	Sikhism
	Buddhism
	Other
	No religion or belief

9.	Sexual orientation
	Heterosexual
	Lesbian or gay
	Bisexual
	Prefer not to say

10.	Do you consider yourself to be disabled?
	Yes
	No

The Disability Discrimination Act defines a disabled person as someone who has a physical or mental impairment that has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities.

11.	Please provide details of your disability
	Physical impairment
	Communication or speech impairment
	Mental Health
	Hearing impairment
	Visual impairment
	Learning disability/difficulty
	Long-term illness or health condition

Thank you for taking the time to complete this survey.

Please click the 'Submit' button below.