BRANCH FEEDBACK FORM

AS PART OF THE EXPANSION OF THE PROJECT MANY AMICUS BRANCHES HAVE BEEN SENT A QUESTIONNAIRE
Use this form to give us feedback from your meeting. If you are not from Amicus please feel free to print this page and take it to your next meeting for discussion and give us some feedback!

What is your name

Which union are you from?

Which branch?

How can we contact you? (full telephone number including area code or e-mail address)

The Questions:-

1: Have members of your branch heard about the project? (tick for yes)

2: Do you have any Disability Champions in your branch? (tick for yes)

3: Which companies does your branch have members in?

4: Do any of them use the 'Two Ticks' symbol? (tick for yes)

5: How many members at you meeting had been involved with representing members on disability issues?

6: Are members aware of any 'Reasonable Adjustments' that have been made to workplaces? (tick for yes)

7: What are the key issues for disabled workers in the workplaces represented at your meeting?

8: Finally, if this discussion has raised any other points about either the project or disability issues that you would like to share with the project team please do so in the box below.


 

WHAT IS A CHAMPION?

ABOUT THE COURSE

BECOME A CHAMPION

NOMINATE A CHAMPION

FIND THE CHAMPIONS

CREATE YOUR PROFILE

FIND A COURSE/COLLEGE

REPORT AN 'ADJUSTMENT'

REPORT A PROBLEM

BRANCH SURVEY