PERSONAL INFORMATION

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* 1. PERSONAL INFORMATION

Marital status

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* 2. Marital status

What is your age?

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* 3. What is your age?

SEXUAL ORIENTATION

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* 4. SEXUAL ORIENTATION

RELIGIOUS BELIEF
In the most recent UK Census the following religions were listed. Please place a tick in the box which most describes your religion, or add details of your religion if not listed below

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* 5. RELIGIOUS BELIEF
In the most recent UK Census the following religions were listed. Please place a tick in the box which most describes your religion, or add details of your religion if not listed below

ETHNIC ORIGIN
White

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* 6. ETHNIC ORIGIN
White

  British Irish White and Black Caribbean White and Black African White and Asian Indian Pakistani Bangladeshi Caribbean African Chinese
White
Mixed Asian
Black
Chinese
Other

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