Making Hackney Safer for Women and Girls - Your details - Hackney Council

1. Name:

2. Email address:

3. Phone number:

4. Preferred method(s) of contact:

Email Telephone Text message

5. Please tick any of the below statements that apply to you:

(Required) I am a woman living in Hackney I am a man living in Hackney I identify as non binary living in Hackney I find it difficult to communicate using English I identify as LGBTQ + I have a disability / have accessibility needs I am from a low income household I am 24 years old or under I am 65 years old or over I am studying in Hackney I work in Hackney None of the above