Please fill out your personal information so we can add you to our bulletin.

It would be useful if you could also answer questions 2 and 3. Thank you.

* 1. Please fill out the below information

* 2. Do you agree or disagree with the following statements?

  Strongly agree Slightly agree Neither agree or disagree Slightly disagree Strongly disagree
I know a lot about pollution and air quality in London
I worry about the health effects of pollution living in London
I am prepared to do more to make a difference

* 3. Would you like to get involved in air quality campaigning or learn more about the issue?

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