Name:
Contact e-mail or telephone number:
Constituency (if you don’t the name of your constituency please give us your postcode)
1. Are you a disabled person?
Yes
No
1a. Would you be willing to talk to the media about your experiences of voting?
2. How easy was it to register to vote? Very easy Easy Neither easy nor difficult Difficult Very Difficult
13. Are the ballot paper(s) and voting instructions in large print?
14. Are the voting instructions easy to understand?
15. Does the voting information tell you how to ask for assistance if you need it?
16. Were you able to vote without assistance?
17. Were you able to vote in secret?
18. Did you find it easy to fold your ballot paper(s) and put it in the envelope?
19. If you could choose, how would you prefer to cast your vote? at a polling station by post by telephone over the Internet by text message using an electronic terminal at a polling station other…. please give details:
Please make any other comments in the space below:
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