Dorchester Citizens Advice Bureau
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Title  
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Surname*  
Email* (must be a valid email address, please fill in carefully)
Phone  
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Post Code* Please remember you must be in our area, if not go to the contact page to find a bureau near you.
Date of Birth*  
Subject*  

Details of enquiry*

In order to ensure that we can offer our clients the best service possible, we need to understand who uses the service and for what types of problems. Therefore we would like to ask you a couple of questions.

What do you consider is your ethnic background?
Would you describe yourself as disabled? Yes No
This information is confidential to the Citizens Advice Bureau. (We will still be able to help you if you feel you are unable to give this information.)
 


Please tick this box if you have used the Dorchester CAB service before
 
 


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