1.Please enter your full name

2.What is your age?

18-24

25-34

35-44

45-54

55-64

65+

3.Please enter your email address

4.In which borough of London are you a resident?

5.Which of the following applies to you?

Smoker

Ex Smoker

Vaper

Ex Vaper

Smoker & vaper

Ex smoker & current vaper

Ex smoker & ex vaper

Current Smoker & ex vaper

6.Please select the sexual identity that applies to you

Heterosexual

Gay / Lesbian

Bisexual

Pansexual

Asexual

Queer

Questioning

Other (please specify)

7.Please select the gender identity that applies to you

Man (including trans man)

Woman (including trans woman)

Non-Binary

Genderfluid

Agender

Androgyne

Other (please specify)

8.Does this match your sex assigned at birth?

Yes

No