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* 1. Today's date

Date

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* 2. Your postcode

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* 3. Please tell us about your involvement with Imaginate

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* 4. Which age band do you fall into?

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* 5. How would you identify your gender?

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* 6. How would you describe your sexuality?

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

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* 8. Please tell us about your ethnic origins

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