The Hidden Gardens is committed to ensuring its opportunities are open to all in the community. And working with partners to reduce barriers to participation. The information gathered on this form is therefore helpful. It is confidential and will only be used to report on the range of people participating in our activities. You do not have to answer any or all of the questions on the form but it is a great help to us if you do.

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* 1. Which one of the following best describes your gender?

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* 2. Disability: Do you have any of the following conditions which have lasted or expected to last for at least 12 months?

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* 3. What is your ethnicity? (Please select all that apply.)

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* 4. Which age group do you fit into?

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