Citizens Panel Registration
By completing this from you are agreeing to receive surveys on local issues sent by Bedford Borough Council and for you information to be processed in accordance with the privacy notice at the bottom of each page. Should you wish to be removed from the panel you can email citizenspanel@bedford.gov.uk at any time.
 
 
 
 
 
Please click 'Next' to continue
Citizens Panel Registration 2018
The following questions are not compulsory, and you are still welcome to join the panel if you choose not to answer them.
 
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)
 
 
Age (please tick one box only)
 
 
 
 
 
 
Please click 'Next' to continue
Citizens Panel Registration 2018
Do you have any of the following conditions? (please tick all that apply)
 
 
 
 
 
 
 
 
What is your Ethnic Group? (please tick one box only)
 
 
 
 
 
 
 
 
 
 
 
Please specify 'other' (please type in)
Please click 'Next' to continue
Citizens Panel Registration 2018
Which of the following best describes your religion/faith or belief? (please tick one box only)
 
 
 
 
 
 
(please type in)
Which of the following best describes your sexual orientation? (please tick one box only)
 
 
 
 
Please click 'Submit' to send us your response
 
   
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