Salford LGBT
Network

Supported by:





eden bar & restaurant

For a chance to win a bottle of champagne OR a meal for two at Eden, please take a few moments to fill in this questionnaire. The information you provide will enable us to ensure we continue meeting the needs of Salford’s LGBT communities.

Your name (optional):


Contact email for prize draw (if you don't have email or prefer to give us your phone number, please provide this in the box below):


First half of your postcode:


Your age:




How do you define your sexuality?


Do you identify as a disabled person?

Do you care for someone who couldn't manage without your help?

If you were a member of Salford LGBT network what kind of activity would you like the network to be doing?


Do you have any suggestions for gay-friendly, accessible meeting venues?


Would you like to be added to the confidential mailing list for the Network? If you haven’t already done so, please add your email address if you have one.