Connecting Corby Gallery Question Title * 1. First Name OK Question Title * 2. Last Name OK Question Title * 3. Postcode e.g. NN17 1QB OK Question Title * 4. Email Address OK Question Title * 5. May we email you about other arts opportunities? Yes, all opportunities in Corby & Wellingborough Yes, opportunities in Corby only No OK Question Title * 6. Telephone/Mobile Number OK Question Title * 7. Gender Female Male Non Binary Prefer Not to Say Other OK Question Title * 8. Age Under 11 11-15 16-24 25-34 35-44 45-54 55-64 65+ Prefer Not to Say OK Question Title * 9. Ethnicity Asian / Asian British (Please select from options below) Indian Pakistani Bangladeshi Chinese Any other Asian Background Black / African /Caribbean /Black British (Please select from options below) African Caribbean Any other Black / African / Caribbean Background Mixed / Muliple Ethnic Groups (Please select from options below) White & Black Caribbean White & Black African White & Asian Any other Mixed / Multiple ethnic background White (Please select from options below) White English/Welsh/Scottish/Northern Irish/British Irish Gypsy Irish Traveller Any Other White Background Other Ethnic Groups (Please select from options below) Arab Any other Ethnic Group Prefer not to say OK Question Title * 10. Disability Yes, day to day activities limited a lot. Yes, day to day activities limited a little No Prefer Not to Say OK Question Title * 11. How often do you take part in Arts Activities (Outside of Education) a year? Never Once Twice Three Times or more Regularly OK Question Title * 12. What attracted you to the event today? Type of event Supporting Made With Many Other (please specify) OK Question Title * 13. Have you been involved in previous Made With Many (Formally Made in Corby) Activity? Please Briefly say which events. OK Question Title * 14. What did you like about the Exhibition? OK Question Title * 15. Is there anything you would change? OK DONE