Focus Group Registration Question Title * 1. Which focus group are you registering for? Coventry: Wednesday 25th May London: Friday 20th May Sunderland: Wednesday 08th June Question Title * 2. Name Question Title * 3. Email Address Question Title * 4. Which age bracket do you fall into? Under 18 18-24 25-44 45-64 65+ I would prefer not to say Question Title * 5. What is the nature of your disability, if you consider yourself to have one? Blindness or visually impaired Deafness or hard of hearing Mobility Impaired Manual dexterity difficulties Communication disorders Learning disability Cognitive disability I am a carer I am a family member and/or friend I would prefer not to say If you would prefer to describe your impairment, condition or disability, please do so here Register
