Disability Service: For Disabled Southwark Residents and Their Carers - Questionnaire for Carers

Page 1 of 9

Closes 10 Jun 2022

Privacy statement

Southwark Council will collect and record your answers to this survey. The answers we collect will be anonymous except where you choose to share personal details with us. You can also choose to receive updates about the consultation by sharing your email address with us at the end of the survey.

We will collect and securely store your data electronically and only give access to people who are authorised to use it. The survey information will be collated for statistical purposes to inform our consultation. We will keep this data for the reasons given above and destroy it securely after 4 years.

If you have any questions about how we will use your personal information, please contact our Data Protection Officer by email dpo@southwark.gov.uk or telephone 0207 525 5000. More detailed information is available on our website https://www.southwark.gov.uk/council-and-democracy/freedom-of-information-and-data-protection/corporate-data-privacy-notice and from the Information Commissioner’s Office at https://ico.org.uk/.

[Please confirm your consent for us to collect and use your data in the ways described above (without your consent, we are unable to use any information that you provide).

Answer in question 1 to give your consent.


1. I give permission for you to use the information I give in my responses. (If you do not click YES we will not be able to use any info that you give and therefore do not need you to go any further with this survey)
2. If you would like to get involved in helping us to design the future service by attending a meeting (may be online Zoom session) with officers and others please select ‘Yes’ box below and leave your name and telephone number so that we can contact you.