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This is a simple survey to help us check that you fall within our research boundaries and to help us get a good mix of people in the community. Please answer every question possible and we will be in contact (via the email address you supply) with you in the coming weeks.

Please note: The participants we are looking for will be female, aged 13-16, 17-20 or 50+, and live either permanently or temporarily around Brighton and Hove. If you are under 16 please ask permission from your parent or guardian before filling in the survey.

If you have any further questions please contact us at twago@qubemedia.net or to find more information go to http://www.qubemedia.net/twago2.php

Thank you for you time.

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* 1. First Name

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* 2. Last Name

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* 3. Gender

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* 4. Age

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* 5. Employment

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* 6. Email Address

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* 7. Post Code

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* 8. Do you or anyone else you live with own a car?

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* 9. How often do you use a car? (As a driver or passenger)

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* 10. How often do you walk?

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* 11. How often do you travel by bicycle?

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* 12. How often do you use public transport?

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* 13. Which of the following social networks do you use?

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* 14. How often do you use social sites such as Facebook, Blogs or Forums?

  1 - Never 2 - A few times a year 3 - Weekly 4 - Most Days 5 - Everyday
Time spent

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* 15. How creative would you say you are?

  Not at all creative Not particularly creative Neither creative or non-creative Quite creative Highly creative
Creativity

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* 16. Which statement most applies to you

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* 17. Where did you hear about this project?

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* 18. Would you be interested in taking part in a research community? You will be paid up to £50 for your participation as well as making a difference to Brighton and Hove.

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