Appendix 3: Sample data protection survey form

Department name ………………………………………………….

Post title ………………………………………………………………

Surveyor name …………………………………………………….

Date ……………………….

1. Name of the record series/ type containing personal data E.g. Membership records
2. Post/s responsible for record series identified E.g. Membership officer
3. In what format does the record series/type exist? PaperElectronic/digital
4. If in paper format, does it exist as part of a relevant filing system? YesNo
5. Where did the personal data contained in these records originally come from? Collected via (please list all sources):E.g. Membership application forms
6. When the personal data were collected did the individual see a data protection statement (i.e. ...

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