About you

The Men's Health Forum is doing research on the role men play in the health of their family. The questions target families where there are children and young people aged 5 to 13.
This survey collects basic age and background information that can't be linked to you and won't be shared. But it will help us to understand the role men play in the health of their family.

* 1. Do you have caring responsibilities for any children between the ages of 5 and 13? This can be as a parent or legal guardian.

* 2. What is your gender?

* 3. What is your ethnic group?  (Choose one option that best describes your ethnic group or background)

* 4. In what year were you born? (enter 4-digit birth year; for example, 1976)

* 5. Which of the following best describes your current relationship status?

* 6. Which of the following categories best describes your employment status?

* 7. How many children, by age, currently live in your household?

* 8. Do you live in the UK?

Report a problem