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* 1. What is your (preferred) name?

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* 2. What are your pronouns?

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* 3. What is your date of birth? This will allow us to determine which Café you would be in (11-15 or 16-25).

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* 4. Are you based in Sussex?

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* 5. Would you describe yourself as having lived experience of mental health? This can be personally or through a family member/friend.

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* 6. Do you have any access needs (eg. hard of hearing)? This info will help us support you in joining our Youth Café meetings.

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* 7. What is your email address?

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* 8. Where did you hear about the Youth PPI Cafe?

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* 9. Are you happy to be contacted by email with more information about joining the Youth PPI Café?

Thank you so much for filling out this form, a member of our team will be in contact soon :)

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