Welcome!

This survey is for you to express interest in attending Trailblazers Employability Weekend on the 3-4 November in London.

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* 1. Name

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* 2. Age

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* 3. Email address

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* 4. Phone number

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* 5. Do you live in London?

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* 6. What is your disability?

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* 7. Which sessions will you be attending?

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* 8. Would you be bringing a PA/Carer with you?

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* 9. Would they be staying overnight with you? If yes, would you be happy to share a room with them (separate beds)?

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* 10. Do you require a room with a ceiling hoist (please note there is limited availability)?

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* 11. Do you need a wet room or a bath?

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* 12. Do you have any other needs we should know about?

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* 13. What is one thing you hope to learn from the weekend?

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* 14. Are there any other topics you'd be interested in hearing about?

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