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We will need to contact you. Under data protection and our own confidentiality rules we need your permission to do this. If you provide a postal address, telephone number or email address we will contact you using those details and identify ourselves as the CAB and leave a message including details of your enquiry when necessary. **** Data Protection Act 1998 **** In order to help you we need to maintain a record of your case, which may contain sensitive personal data. The law says we must get your consent to do this. Everything you tell us will be treated confidentially. Sensitive personal data is defined as information relating to any of the following: racial or ethnic origin, political opinions, religious beliefs, trade union membership, health, sexuality or sex life, offences and/or convictions. For the purposes of the Act the Data Controller is Shepway Citizens Advice Bureau.
By ticking the box below you are giving your consent to us recording sensitive personal information about you.
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Have you been to see us before? Yes No If yes when did you visit us?
The CAB service aims to provide equal opportunities and fair treatment for all people regardless of race, sex, disability, sexual identity or marital status. In order to achieve these aims we have a policy of monitoring certain information relating to our clients. Please help us by completing the following questions.
Gender Male Female Decline to answer
Would you describe yourself as disabled? Yes No Decline to answer
How would you describe your ethnic group? ** Please select from the following list ** White British White Irish White Other Mixed White & Black Caribbean Mixed white & Black African Mixed White & Asian Mixed Other Asian or Asian British Indian Asian or Asian British Pakistani Asian or Asian British Bangladeshi Asian or Asian British Other Black or Black British Caribbean Black or Black British African Black or Black British Other Chinese Other Decline to answer
Your monthly income ** Please select from the following list ** Less than £400 £400 - £599 £600 - £999 £1000 - £1499 £1500 - £1999 £2000 - £2499 £2500 - £2999 More than £2999 Decline to answer
Type of household ** Please select from the following list ** Couple Couple with dependant children Couple with non-dependant children Single person Single person with dependant children Single person with non-dependant children Other adult only Other with dependant children Decline to answer
Housing tenure ** Please select from the following list ** I own my home outright I am buying my home (mortgage etc) My home has shared ownership I rent from a social landlord (eg Local Authority) I rent from a private landlord I live in rent-free housing I live in a hostel I am a prisoner I am homeless (incl B & B tenant) Other Decline to answer
Marital status ** Please select from the following list ** Single Married/Co-Habiting/Civil Partnership Married but separated Divorced Widowed Decline to answer
Occupation ** Please select from the following list ** Employed and working at least 30 hours per week Employed and working less than 30 hours per week Unemployed Volunteer Retired Student Looking after home or family Decline to answer
