Contact Customer Relations

Listen to this website Accessibility

Home

Residents

Customer Relations

	Customer Relations
	Contact Customer Relations

Contact Customer Relations

Do you want to make a general enquiry? Please complete the form below and click send.

Your name

Your address

Your postal code

Phone number

Email address

Please state the nature of your enquiry

Your enquiry

Customer details for equal opportunities monitoring

We want to provide services which meet your needs. You can help us to do this if you tell us the following information. You do not have to give us this information, but if you do, we will keep it strictly confidential. We will only use this information for monitoring and survey purposes within Nottingham City Council. We will not pass it on to anyone else.

Please click in the appropriate boxes.

All information requested below is optional

Are you male or female?
Male    Female

How old are you?
Under 18    18 to 24    25 to 44    45 to 59
60 to 64    65 to 74    Over 75

Do you have any long-term illness, health problem or disability which limits your daily activities?
Yes    No

Which would you say best describes your ethnic origin?

White
British    Irish
Other White background (please give us details...)

Mixed
White and Black Caribbean    White and Black African    White and Asian
Other mixed background (please give us details...)

Asian or Asian British
Indian    Pakistani    Bangladeshi
Other Asian background (please give us details...)

Black or Black British
Black Caribbean    Black African
Other Black background (please give us details...)

Chinese or other ethnic group
Chinese Gypsy/Roma Traveller of Irish Heritage
Other ethnic group (please give us details...)

What religion are you?
Buddhist    Christian    Hindu    Jewish    Muslim    Sikh    None
Other (please give us details...)

What is your sexual orientation?
Hetrosexual/Straight       Gay Man    Lesbian/Gay Woman
Bisexual          Other       Prefer not to say