Toggle navigation Load unfinished survey Resume later Language: English - English Cymraeg - Welsh English - English You have completed 0% of this survey 0% default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. Your Details Note your title Choose one of the following answers Miss Mrs Mr Other: Note your full name Note your address Note your code post Phone Numbers Home Phone Number Mobile Work Phone Number E-mail NI Number What is your employment status? Choose one of the following answers working full time working part time retired Other: If you work for the Council, note which Department and Service you work for Department Service Date of Birth Can you speak Welsh? Check all that apply can speak Welsh can understand Welsh learning Welsh not proficient in Welsh at all completely fluent Note if you have any previous experience of working at an election Check all that apply Presiding Officer Polling Clerk Counting Assistant Submit Load unfinished survey Resume later Please confirm you want to clear your response? Exit and clear survey ×
