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Bedford Borough Joint Health and Wellbeing Strategy
Consultation Response Form

         
Bedford Borough’s Joint Health and Wellbeing Strategy identifies the priorities for promoting health and wellbeing in Bedford Borough.  This response form will allow you to comment on each priority as well as on the document generally. If you are providing comments on the draft Health & Wellbeing Strategy please provide paragraph numbers of the section you are commenting on.

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Priority 1:  Give children and young people the best start in life

To what extent do you support this priority for the Health and Wellbeing Board? (please tick one box only)
 
 
 
 
 

Priority 2:  Enable adults and older people to live well and remain independent

To what extent do you support this priority for the Health and Wellbeing Board? (please tick one box only)
 
 
 
 
 

Priority 3:  Promote strong, safe and healthy communities

To what extent do you support this priority for the Health and Wellbeing Board? (please tick one box only)
 
 
 
 
 

Overall

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ABOUT YOU

Are you responding as an individual, or on behalf of an organisation? (please tick one box only)
 
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ABOUT YOU

If you are responding as an individual please tell us a little about yourself.

The following information is for our records, and aims to ensure that we listen to the views of all sectors of our community. It will help us understand responses in greater detail by seeing 'who thinks what'. Like the rest of the form, all the questions are optional and any responses received will be treated in confidence.
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ABOUT YOU

Gender (please tick one box only)
 
 
If female, are you currently pregnant? (please tick one box only)
 
 
Is your present gender the one you were assigned at birth? (please tick one box only)
 
 
What is your age? (please tick one box only)
 
 
 
 
 
 
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ABOUT YOU

Do you have any of the following conditions? (please tick all that apply)
 
 
 
 
 
 
 
 
Which of the following best describes your sexual orientation? (please tick one box only)
 
 
 
 
What is your Ethnic Group? (please tick one box only)
 
 
 
 
 
 
 
 
 
 
 
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ABOUT YOU

Which of the following best describes your religion or belief? (please tick one box only)
 
 
 
 
 
 
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Thank you for taking the time to give us your views.  
Data Protection Act 1998
Please note that the information supplied on this form will be held and/or computerised by Bedford Borough Council for the purpose of this consultation. Responses received will be published and attributed to source, but no individual personal details will be disclosed under these circumstances.
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