Today's date

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* 1. Today's date

Date
Please tell us about your involvement with Imaginate

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* 2. Please tell us about your involvement with Imaginate

Which age band do you fall into?

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* 3. Which age band do you fall into?

How would you identify your gender?

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* 4. How would you identify your gender?

How would you describe your sexuality?

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* 5. How would you describe your sexuality?

Do you consider yourself to have a disability?

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* 6. Do you consider yourself to have a disability?

Please tell us about your ethnic origins

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* 7. Please tell us about your ethnic origins

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