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* 1. What is your postcode?

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* 2. What is your gender?

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* 3. How old are you?

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* 4. How have you been impacted by the coronavirus situation? (please tick all that apply)

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* 5. Have you been to Growing Lives before?

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* 6. Do you take part in any other local activities or groups? If yes, please tell us what they are.

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* 7. What stops you or makes it harder for you to take part in local groups or activities? (please tick all that apply)

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* 8. Would any of the following make you feel more like taking part in local activities? (please tick all that apply)

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* 9. How do you think you could benefit from attending local groups or activities? (please tick all that apply)

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* 10. What type of activities would you be interested in? (please tick all that you might give a try)

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