Survey #28: User Survey

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1. Your date of birth

2. Are you

Male
Female

3. Are you (please tick one)

At school
At college
Full time employed
On a training scheme
Unemployed
Other

4. Other

5. Do you live?

With your parents, guardian or carer
On your own
With friends

6. What is your postcode?

7. Your town or village?

8. What is your ethnic group?

White
Dual heritage
Prefer not to say
Black or Black British
Gypsy or Traveller
Chinese
Asian or Asian British
Other

9. Would you describe your self as having a disability?

Yes
No

10. If yes, how would you describe it?

11. Do you go to a youth club, group or project?

Yes
No