Group facilitator survey for Help shape the One West Northamptonshire Plan - About you - West Northamptonshire Council

1. Please complete the following information -

Please note that these questions are required

Name of facilitator or facilitators: (Required)

Organisation or group name: (Required)

Date of meeting: (Required)

Number of participants: (Required)

2. Which of the following are you representing in your group (select all that apply):

Older People Younger Adults Learning Disability Physical Disability Mental Health Carers Black or Minority Ethnic Group Prefer not to say Other (please state below)

Other:

3. How did you find out about this consultation?

From the local media (i.e. newspaper or radio) On social media As a member of the West Northamptonshire Residents' Panel or Consultation Register From an email alert from West Northamptonshire Council From another organisation From the West Northants Life magazine From a voluntary sector organisation providing me with support and advice From my parish or town council From a West Northamptonshire Councillor Other, please provide detail

Other: