North West England Yorkshire and Humber East Midlands West Midlands East of England London South East of England South West of England Other (if you have ticked this, please write the area where you usually live on the line below) ________________________________________________________________________ Which best describes your gender? (Please tick one box) Male Female I prefer to use my own term I prefer not to say How old are you? (Please tick one box) 13 or under 14 17 – 18 24 – 25 34 – 35 44 – 45 54 – 55 64 – 65 74 – 75 84 – 85+ Prefer not to say If it is easier for you, please just your age in here: ______________________
North West England Yorkshire and Humber East Midlands West Midlands East of England London South East of England South West of England Other (if you have ticked this, please write the area where you usually live on the line below) ________________________________________________________________________ Which best describes your gender? (Please tick one box) Male Female I prefer to use my own term I prefer not to say How old are you? (Please tick one box) 13 or under 14 – 17 18 – 24 25 – 34 35 – 44 45 – 54 55 – 64 65 – 74 75 – 84 85+ Prefer not to say If it is easier for you, please just your age in here: ______________________
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