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Peer-to-Peer Support
1.
Do you have links to engineering? (please note, not being an engineer will not affect your ability to access support)
Yes - I am an engineer
Yes - I have links to engineering (e.g. relative or work in engineering field)
Yes - I am a student, studying on an engineering course
Yes - I have an interest in engineering
No
2.
If you were to take part in the peer-to-peer support group, would you prefer
Online (Zoom/Teams or other) support
Face-to-face support
Email support
Phone support
Text
Other (please specify)
3.
How often would you like to take part
Once a week
Fortnightly
Monthly
Bi-monthly
Other (please specify)
4.
What sort of activity would you like to be involved in within peer-to-peer support if online?
A space to chat and socialise
Forum to discuss issues
Play online games
Book club
Other (please specify)
5.
If peer-to-peer support could take place face-to-face, what sort of activities would you like to be involved with?
Lunch/afternoon tea
Walking football
Walks / wheelchair friendly walks
Games morning/afternoon
Art
Sharing Stories
Reading
Other (please specify)
6.
If you were to take part in peer-to-peer support, what would you hope to get from it. Please provide as much information as you can.
7.
Are there any areas in your life that you hope peer-to-peer support could address? Please provide comments below.
8.
Do you have any accessibility requirements that would need to be taken into consideration to enable you to take part?
Yes
No
9.
If you answered yes to the above question, please outline below
10.
What county are you based in
11.
Have you accessed support from Foothold
Yes - currently receiving support
Yes - in the past
No
12.
If there is anything else you would like to add, please comment below
13.
Please provide an email address if you would like us to feedback on comments made
14.
Please confirm your age bracket
Under 18
18-24
25-34
35-44
45-54
55-64
65+
15.
Please describe your ethnicity
White - British
White - Irish
White - Any other white background
Mixed - White and Black Caribbean
Mixed - White and Black African
Mixed - White and Asian
Mixed - Any other mixed background
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi
Asian or Asian British - Any other Asian background
Black or Black British - Caribbean
Black or Black British - African
Black or Black British - Any other Black background
Other ethnic groups - Chinese
Other Ethnic Groups - Any other ethnic group
Prefer not to say
Other (please specify)
16.
Please describe your religious beliefs
No religion
Christian (including Church of England, Catholic, Protestant and all other Christian denominations)
Buddhist
Hindu
Jewish
Muslim
Sikh
Prefer not to say
Any other relation, please describe sing the box below
Other (please specify)
17.
Please describe your gender
Female (including transwoman)
Male (including transman)
Non-Binary
Prefer not to say
Prefer to self-describe (please use the box below)
Prefer to self describe (please specify)
18.
Please describe your sexual orientation
Bisexual
Gay man
Gay woman/lesbian
Heterosexual
Prefer not to say
Prefer to self describe (please specify)