Knowsley Housing Trust

Personal Information

Name *

Address

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Telephone Number *

Please state your complaint/compliments below:
(please write a letter if there is not enough space on this form for your complaint/compliment)

Complaint/Compliment

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The information provided on this form is for monitoring reasons to ensure that KHT's complaints procedures comply with its Equality and Diversity policy. To check on the effectiveness of our Equality and Diversity Policy, we record gender, ethnic origin, marital status and disability of people who formally report complaints. To enable us to do this, we would be grateful if you would provide these details about yourself, which are requested below.

Equal Opportunities

Gender

Male
Female

What is your ethnic group?

I would rather not say

Mixed

White and Black Caribbean
White and Black African
White and Asian
Any other mixed background

Asian or Asian British

Indian
Pakistani
Bangladeshi
Any other Asian background

Black or Black British

Black Caribbean
Black African
Any other Black background

Chinese or other Ethnic Group

Chinese
Any other Ethnic background

Do you consider yourself to have a disability?

Yes
No

Are you registered disabled?

Yes
No

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