Part 1 – About your Organisation/Rhan 1 - Gwybodaeth am eich Sefydliad

This survey aims to:
- Create a map of disabled led organisations in Wales and
- Identify gaps in funding and support affecting them.
Please assist us by completing this form. Your participation is voluntary.
Please note that you can ask a member of staff to assist or fill out this form for you if it would be preferable.
Nod yr arolwg hwn yw:
- Creu map o sefydliadau sy’n cael eu harwain gan bobl anabl yng Nghymru a
- Chanfod bylchau yn y cyllid a’r cymorth sy’n effeithio arnynt.
Helpwch ni drwy lenwi’r ffurflen hon. Gwirfoddol ydy cymryd rhan.
Cofiwch y gallwch chi ofyn i aelod o staff eich helpu chi i lenwi’r ffurflen hon, neu ei llenwi ar eich rhan, os byddai hynny’n well gennych chi.

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* 1. Name of Organisation
Enw’r Sefydliad

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* 2. Contact Name
Enw’r Person Cyswllt

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* 3. Contact Job Title
Teitl Swydd y Person Cyswllt

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* 4. Contact Email address
Cyfeiriad E-bost y Person Cyswllt

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* 5. Is your organisation a Disabled Peoples Organisation (DPO)?
To be a DPO, your constitution must state that 51% of members and management committee self-define as disabled people (51% rule)

A yw eich sefydliad yn Sefydliad Pobl Anabl?
I fod yn Sefydliad Pobl Anabl, rhaid i’ch cyfansoddiad ddatgan bod 51% o'r aelodau a’r pwyllgor rheoli yn diffinio eu hunain fel pobl anabl (sef y rheol 51%)

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* 6. Is your organisation a Full DPO Member of Disability Wales?
To be a Full Disabled People’s Organisation Member, your constitution must state that 51% of members and management committee self-define as disabled people.

A yw eich sefydliad yn Aelod Llawn o Anabledd Cymru fel Sefydliad Pobl Anabl?
I fod yn Aelod Llawn fel Sefydliad Pobl Anabl, rhaid i’ch cyfansoddiad ddatgan bod 51% o’r aelodau a’r pwyllgor rheoli yn diffinio eu hunain fel pobl anabl.

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* 7. If no, would you like to be?

Os nad ydych chi, ydych chi eisiau?

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* 8. Organisation type (Choose the option that best describes your organisation)

Math o sefydliad (Dewiswch yr opsiwn sy’n disgrifio eich sefydliad orau)

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* 9. Please provide a short description of your organisation
Rhowch ddisgrifiad byr o'ch sefydliad isod

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* 10. Region of Operation (Tick as many as applies)
Rhanbarth Gweithredu (Ticiwch bob un sy'n berthnasol)

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* 11. Where is your organisation based?
Ble mae eich sefydliad wedi’i leoli?

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* 12. How many paid staff (full time and part time) do you have?
Faint o staff cyflogedig (llawnamser a rhan-amser) sydd gennych chi?

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* 13. How many volunteers do you have?
Faint o wirfoddolwyr sydd gennych chi?

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* 14. How many members do you have?
Faint o aelodau sydd gennych chi?

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* 15. How many Directors/Trustees/Committee Members do you have? (if relevant)
Faint o Gyfarwyddwyr/Ymddiriedolwyr/Aelodau’r Pwyllgor sydd gennych chi? (os yw’n berthnasol)

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