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We would appreciate you being as honest as you can in when answering the questions, so that we can use the information to inform our research.
 
 
 
Age
 
16-25
 
26-35
 
36-45
 
46-55
 
55+
 
 
 
Gender
 
Male
 
Female
 
 
 
Home town/ Village
   
 
 
 
Occupation
   
 
 
 
Employment status
 
Full time employment
 
Part-time employment
 
Unemployed
 
Self-employed
 
 
 
Do you have any children?
 
Yes
 
No
 
 
 
If yes, how many?
   
 
 
 
How old are they?
   
 
 
 
Do any of your children have special needs?
 
Yes
 
No