Get Involved Group Sign-Up

Sign up to the Get Involved Group mailing list for updates on meetings and to receive our newsletter

The Get Involved Group is a Brighton and Hove community engagement project which aims to represent the views and experiences of people with a lived experience of disability, impairment, physical or mental health issues.

By signing up to the mailing list you will receive invites to our regular meetings, occasional consultations which which will be on topics of interest and our monthly round-up.

All information you give us will be treated as confidential. Personal details will not be shared with any other organisation and your data will be stored in accordance with the Data Protection Act.

The Get Involved Group is part of the Fed Centre for Independent Living. For more information please go to http://www.thefedonline.org.uk/get-involved-group

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* 1. About you

Full Name

Address 1

Address 2

Town

Postcode

Main contact Telephone

Your Preferred Contact Method

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* 2. What is your age?

18 - 25

26 - 35

36 - 45

46 - 55

56 - 65

66 - 75

76 - 85

Over 85

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* 3. What is your ethnicity (or the ethnicity of the claimant you are representing)?
Choose ONE section from A to E, then tick the appropriate box.

A. Irish

A. English/Welsh/Scottish/Northern Irish/British

A. Gypsy or Irish Traveller

A. Other White background

B. White and Asian

B. White and Black African

B. White and Black Caribbean

B. Other mixed/multiple ethnic group

C. Indian

C. Pakistani

C. Bangladeshi

C. Chinese

C. Other Asian background

D. African

D. Caribbean

D. Other Black/African/Caribbean background

E. Arab

E. Other ethnic group

If other please state

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* 4. Disability

Do you consider yourself to be a disabled person?

Are you the carer for, or relative of a disabled person?

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* 5. What is the nature of your disability?
(If you wish you may say more about your disability, and what adjustments we might need to make in order to allow you to make the best use of our services, in the additional info section at the bottom of the page.)

Physical disability

Sensory impairment

Acquired brain injury

Learning disability

Mental illness

Prefer not to say

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* 6. Sex/ gender identity

Male

Female

Transgender

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* 7. Religion or belief

Buddhist

Christian

None

Prefer not to say

Hindu

Jewish

Humanist

Muslim

Sikh

Other religion or faith

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* 8. Sexual orientation

Bisexual

Lesbian

Gay

Heterosexual (straight)

Prefer not to say

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* 9. Internet Access. Please tick one of the following boxes

I have access to the internet at home

I have restricted access to the internet

I have no access to the internet

Get Involved Group Sign-Up

Sign up to the Get Involved Group mailing list for updates on meetings and to receive our newsletter

Question Title

* 1. About you

Question Title

* 2. What is your age?

Question Title

* 3. What is your ethnicity (or the ethnicity of the claimant you are representing)?
Choose ONE section from A to E, then tick the appropriate box.

Question Title

* 4. Disability

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* 5. What is the nature of your disability?
(If you wish you may say more about your disability, and what adjustments we might need to make in order to allow you to make the best use of our services, in the additional info section at the bottom of the page.)

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* 6. Sex/ gender identity

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* 7. Religion or belief

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* 8. Sexual orientation

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* 9. Internet Access. Please tick one of the following boxes

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* 10. Please let us know where you heard about the Fed Centre for Independent Living

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* 11. Additional Information

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* 1. About you

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* 2. What is your age?

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* 3. What is your ethnicity (or the ethnicity of the claimant you are representing)?Choose ONE section from A to E, then tick the appropriate box.

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* 4. Disability

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* 5. What is the nature of your disability?(If you wish you may say more about your disability, and what adjustments we might need to make in order to allow you to make the best use of our services, in the additional info section at the bottom of the page.)

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* 6. Sex/ gender identity

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* 7. Religion or belief

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* 8. Sexual orientation

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* 9. Internet Access. Please tick one of the following boxes

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* 10. Please let us know where you heard about the Fed Centre for Independent Living

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* 11. Additional Information

* 3. What is your ethnicity (or the ethnicity of the claimant you are representing)?
Choose ONE section from A to E, then tick the appropriate box.

* 5. What is the nature of your disability?
(If you wish you may say more about your disability, and what adjustments we might need to make in order to allow you to make the best use of our services, in the additional info section at the bottom of the page.)