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Please be aware that you must be at least 13 years of age to have an account on Lets Talk Swindon. Parents or guardians may hold an account on behalf of a child aged 12 or younger. However, the email address provided should belong to the adult.
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Can you please confirm if you are registering as an individual or as an official representative of an organisation (e.g. interest group, charity, trade body, etc)
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As an individual
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We would like to contact you via email to send you information regarding consultations and engagement exercises. We may use the information you provide about yourself within this registration form to tailor the information we send.
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Your Details
Below are optional questions. Please consider answering these as they help us to: • assess if we are reaching all sections of the community • understand possible differences in views between sections of the community, and • improve the effectiveness of the way we communicate
What is your name? (Please provide your first name and family name)
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Postcode: • If you are registering as an individual, please provide your home postcode • If you are registering on behalf of an organisation, please provide the main postcode of the organisation
What age group are you?
15 and under
16 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 - 74
75 - 84
85+
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Please tell us your gender
Male
Female
Gender neutral/Agender
Non-binary
Trans man
Trans woman
I use a different term
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Please tell us your ethnic group
Asian or Asian British – Bangladeshi
Asian or Asian British – Chinese
Asian or Asian British – Indian
Asian or Asian British – Other
Asian or Asian British – Pakistani
Black or Black British – African
Black or Black British – Caribbean
Black or Black British – Other
Mixed/Dual Heritage – Mixed Other
Mixed/Dual Heritage – White and Asian
Mixed/Dual Heritage – White and Black African
Mixed/Dual Heritage – White and Black Caribbean
Other Ethnic Group
Other Ethnic Group – Arab
Other Ethnic Group – Kurdish
Other Ethnic Group – Latin American
Other Ethnic Group – Turkish
White – British
White – Irish
White – Other
Prefer not to say
Gypsy, Roma or Irish Traveller
Do not wish to disclose
Do you consider yourself to be disabled as defined by the Equality Act 2010? (Please note that a disability is any long-term physical or mental impairment that has a negative and long-term substantial negative impact on your ability to carry out day to day activity. This definition includes many non-visible impairments and long-term health conditions)
Yes
No
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How would you describe your sexual orientation?
Heterosexual or straight
Gay man or gay woman / lesbian
Bisexual
Other
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What is your religion or belief?
No religion or belief (including atheist)
Christian (including Church of England, Catholic, Protestant, and all other Christian denominations)
Buddhist
Hindu
Jewish
Muslim
Sikh
Other
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