01 - Lauren Easy Read QA

About you

1. Your name

Please write your name in the box

Put your answer in the box

2. Your email

Email

Put your answer in the box

3. How old are you?

Please write you age in the box

Put your answer in the box

4. What gender are you?

This is how you describe yourself

Please choose one answer

Woman

Man

Non-binary

None of these

5. What is your ethnic background?

Please choose one answer

White

Mixed or multiple ethnic groups

Asian or Asian British

Black, African, Caribbean or Black British

Other ethnic group

I do not want to say

6. Do you have a disability or issue with your health that stops you doing things?

Please choose one answer

Yes

No

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