Your Feedback

Title:

Name:

Address:

Postcode:

Email:

Daytime Telephone:

Comment / Complaint / Compliment:

Is the complaint about racial harassment?:

YesNo

What action do you think we should take?:

Consent Statement

If you are making a complaint please agree to allow the collection of all relevant information from across the council (e.g. case files or other documents held by the council), in order to fully investigate my complaint.

YesNo

About you

In order to ensure that our services are accessible by everyone, we ask if you could please answer the following equality questions. Your answers are confidential and are not used to identify individual tenants.

If you are unwilling to answer any of these questions, please tick this box and SUBMIT the form:

Gender:

Male
Female

Do you consider yourself to be disabled?:

Yes
No

Do you consider yourself to be a person with any of the following (please tick all that apply)?: