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HIV Vision for London Community Advisory group EOI
Expression of Interest
Please fill out a few details to submit your expression of interest in being part of the community advisory group for this piece of work.
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1.
Name
2.
Organisation (if applicable)
3.
Email address
4.
Why would you like to be part of the advisory group?
(50 words)
5.
In order to ensure a diverse representation of the HIV community on this group we kindly ask you to complete some demographic information as well:
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*
6.
How do you identify your gender?
(Required.)
Woman (including transwoman)
Man (including transman)
Non-binary
In another way
Prefer not to say
*
7.
Is this the same gender you were assigned at birth?
(Required.)
Yes
No
Prefer not to say
*
8.
How old are you?
(Required.)
18-24
35-44
55-64
65+
*
9.
How would you describe your ethnicity?
(Required.)
White British/Irish/other
Mixed / Multiple ethnic groups
Black / African / Caribbean / Black British
Asian / Asian British
Other ethnic groups
*
10.
Which of the following best describes how you think of yourself?
(Required.)
Straight/Heterosexual
Gay or Lesbian/Homosexual
Bisexual
Asexual
Other
Prefer not to say
Current Progress,
0 of 10 answered