Cruse Bereavement Care wants to draw its volunteers from all sections of the population. Please help us by
completing this survey. The information will be treated confidentially and only used to monitor the
effectiveness of our Equal Opportunities Policy.

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* 1. What is your gender?

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* 2. What is your age?

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* 3. Do you consider that you have a disability?

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* 4. How would you describe your religious affiliation?

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* 5. How would you describe your ethnic origin?

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