Tell Us Your Views

We are asking for this information so that we can accurately record your comments and pass them on to the appropriate department for action. Thank you for your assistance.

Please note that we may be unable to respond to you unless you complete the details below in full. Any issues raised however will be investigated fully.

About You
First Name:
Surname:
Address:
Telephone (Day):
Telephone (Evening):
Email Address:
Preferred Method of Contact:
Details
Type Of Feedback:
Details:
Equalities
Gender:
Do you consider yourself to be disabled?:
Age Group:
Ethnicity:

Please note: Once you press the 'Submit' button, your feedback will be confirmed by email and you will be redirected to the home page.

We are asking for the equality information so we can ensure we are offering services to all sectors of the community in an open and accessible manner.

All of the information provided will be treated in the strictest confidence and we will only use it to monitor and analyse comments / complaints for statistical purposes. This monitoring information could be passed on to other services of the Council, who may need to use it for the same purpose. Any answer you give will not affect the service you are receiving from the Council.

Thank you for completing this form. The information provided will help us to improve our services to you and others in Rotherham. Thank you for using the Area Assemblies website to log this report.