Violence against women and girls services: call for evidence - easy read

Questions about you

You must fill in:

• the first 7 questions about you

and you can choose to fill in:

• any of the services questions you want to answer

Each time you see an answer space with a pen, you can keep typing.

The space will grow as you type.

Where you see a tick box, click once to tick.

If you click it again, the tick will disappear.

1. Are your answers from you?

Or are you answering for an organisation you work with?

Tick 1 box.

• My answers are from me.
• My answers are from an organisation.

2. What is your name?

If you are answering for an organisation you can write its name instead.

Write or type it here:

3. What is your phone number?

Write or type it here:

4. What is your address?

Write or type it here:

Post code:

5. What is your email address?

Write or type it here:

6. The Scottish Government need to know how private your answers are.

Please tick 1 box.

• I am happy for my answers to be published with my name next to them.
• I am happy for my answers to be published but I do not want my name shown.
• If you are an organisation you cannot tick this box.
• I want my answers to stay private. I do not want them published.

If you are an organisation, your organisation name might still be listed to show you have answered.

7. Can we phone or email you again later if we want to talk to you about this in the future?

Tick 1 box.

• Yes, you can phone and email me in the future.
• No, please don't phone or email me.

Thank you.

Now please answer any of the questions about the services.

You don't have to answer them all.