Interviewee Participation Form Question Title * 1. Your name: Question Title * 2. Your age: Question Title * 3. Which of these apply to you? Tick all that apply. I am a student I am a teacher I am a key worker (medical) I am a key worker (other) I am/was shielding None of the above Other (please specify) Question Title * 4. Which of the following would you like to participate in? Interview Detailed survey Writing about your experiences Artwork/illustrating Publicity and distribution Question Title * 5. Would you want your input to be anonymous? Yes No I'm not sure yet Done