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* 1. Gender

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* 2. Age group:

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* 3. Ethnic Origin

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* 4. Do you consider yourself to be a disabled person?* Disability, as defined by the Disability Discrimination Act, covers many people who may not usually have considered themselves disabled. It covers physical or mental impairments with long term, substantial effects on ability to perform day-to-day activities.

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* 5. Nature of disability (please tick all that apply):

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* 6. In which of the following Nations or English regions do you live?

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* 7. Which of the following options best describes how you think of yourself?

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