Your Health (Stow College) Survey

Are you: Male

Female

What age are you? Under 20

21-25

26-35

36-45

46-55

Over 55

What is your home postcode? Please provide the first half (e.g. G3).

Which of the following best describes you? Asian Indian Asian Pakistani Asian Chinese Asian Scottish Asian British Asian other background Black Carribean Black African	Black Scottish Black British Black other background White Scottish White British White Irish White other background Prefer not to say
Other (please specify)

Your Health (Stow College)
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