do we treat disabled people equally and...

This is an EasyRead form for you to complete.

Do we treat disabled people equally and fairly?

Under 18For

Under 18s

1

Disability Sport Wales (FDSW) really wants to make sure we treat all disabled people equally and fairly.

To do this we need to know a bit more about you and what you think.

If you are over 18 please use the form for adults.

Filling this form in should take about 15 minutes.

We follow the law about keeping people’s information safe and private.

2

Please tick this box if you

understand and agree to us having your information.

If you have any questions, please get in touch:

Telephone02920 334923

Emailoffice@disabilitysportwales.com

Thank you for your help.

3

1. What do you do with Disability Sport Wales? (Just choose one):

Other (please say what):

Other (please say what):

I am a board member

I am Staff

I am a Development Officer

I am Support Staff

I do Care or Care Support

I am a Coach

I am a tutor

I am a Volunteer

I am an Athlete

I don’t want to say

4

2. Is there anything else you do for Disability Sport Wales?

Other (please say what):

Other (please say what):

I am a board member

I am Staff

I am a Development Officer

I am Support Staff

I do Care or Care Support

I am a Coach

I am a tutor

I am a Volunteer

I am an Athlete

I don’t want to say

5

3. How old are you?

Under 18

If you are over 18 please use the form for adults.

4. What background do you come from?

English

Irish

Scottish

Welsh

Other

Indian

Pakistani

Bangladeshi

Other

White or White British

Asian or Asian British

6

Caribbean

African

Other

White and Black Caribbean

White and Black African

White and Asian

Other

Black or Black British

Mixed

Gypsy or Irish Traveller

Don’t want to say

Chinese

Other ethnic group from the People’s Republic of China or the Republic of China

7

5. Are you?

A Man

A Woman

Don’t want to say

6. Do you have a disability?

Yes (go to the next question)

No (miss out the next question)

Don’t want to say (miss out the

next question)

8

6. a Please tick which ones

Learning disability

Blind or do not see well

Use a wheelchair all the time

Deaf or Hard of Hearing

Long-term illness

Other (please say):

Learning difficulty (this could be something like ADHD or Dyslexia)

A Physical disability but do not use a wheelchair

Use a wheelchair for sport

Mental Health Problem

I don’t want to say

9

7. Which language do you use most?

English

Welsh

Other European

Makaton

British Sign Language

Do not want to say

Other (say which):

10

8. Do you use Welsh?(A ydych yn defnyddio Cymraeg?)

I can speak Welsh

I can write in Welsh

I can read Welsh

I’m learning to speak Welsh

I don’t use Welsh

Don’t want to say

11

9. What do you believe in? (Your religion or belief)

Hindu

Sikh

Christian

Jewish

Any other religion (please say which):

Buddhist

Spiritual

Muslim

I don’t have a religion

I don’t want to say

12

10. Have you ever felt Disability Sport Wales has treated you unfairly or unequally?

Yes (go to the next question)

No (miss out the next question)

Don’t want to say (miss out the

next question)

10.a If yes, please tell us as much as you want to about it (remember no one will be told your name if you don’t want us to.)

13

11. Do you feel that you have been treated unfairly or unequally in sport in Wales because of how much money you have?

Yes (go to the next question)

No (miss out the next question)

Don’t want to say (miss out the next question)

11.a If yes, please tell us as much as you want to about it (remember no one will be told your name if you don’t want us to.)

14

12. Do you feel that you have been treated unfairly or unequally in sport in Wales because of where you live?

Yes (go to the next question)

No (miss out the next question)

Don’t want to say (miss out the next question)

12.a If yes, please tell us as much as you want to about it (remember no one will be told your name if you don’t want us to.)

15

13. Would you like training in any of these areas about being treated equally and fairly? Please say why.

Area Finding more Making rules about about

Disability

Why?:

Age

Why?:

Religion/Belief

Why?:

16

Area Finding more Making rules about about

Background

Why?:

Sex

Why?:

Transgender/ Transsexuality

Why?:

What sex person you prefer

Why?:

17

14. Please tell us anything else you want to about being treated equally and fairly

Area Finding more Making rules about about

Poor Children

Why?:

The law on being treated equally

Why?:

Getting Care

Why?:

Other

Why?:

18

Please send this form FREE OF CHARGE to this address:

ConfidentialFREEPOST RTEB-HRKA-RTYUDisability Sport WalesWelsh Institute of SportSophia GardensCardiff. CF11 9SW

X