Breathesafe campaign

1. Personal information

Your answers to the questions in this survey will provide the CSEU and its constituent unions with vital information for our Breathesafe campaign. Please answer all of the questions and use the comment boxes to give more information where appropriate.

Please be assured that the information you provide will be used solely for the purposes of the CSEU's Breathesafe campaign and any personal information will be anonymised.

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* 1. Full name

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* 2. Occupation

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* 3. Employer

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* 4. Location

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* 5. Age group

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 6. Gender

Male

Female