SHE Plymouth Project participant details
Thank you for your interest in the SHE Plymouth Project. In order to get you started, and to meet the requirements of the project's funding, we need to get a few details. 

If you would like someone to help you complete this form over the phone or in person please email she@iridescentideas.com or call Jo on 07561034982 and we'll be happy to help.
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Full name *
Postcode *
Email address *
Are you happy to receive our newsletter? We will use this to tell you about other events, courses and news you may be interested in. *
Phone number *
How would you prefer us to contact you? *
Can you tell us a bit about what you are hoping to get out of the SHE Plymouth programme? *
Is there anything specific you want to focus on?
How did you hear about SHE Plymouth? (Please tick all that apply) *
Required
About you
We would also like to understand who our services are reaching and who we are not reaching. All the questions below are optional but it would really help us to evaluate and improve if you can answer them.

The information you provide will be stored in a password protected system. Only Iridescent Ideas CIC and the Rank Foundation (which is funding the project) can access this information. Anonymised, summarized data may be made public on our website and/or shared with our funders and partners. You can withdraw your consent to our holding your survey answers at any time by emailing: mel@iridescentideas.com
 What age group are you in?
Clear selection
What is your ethnic group?
Clear selection
 Do you have any physical or mental health conditions or illnesses lasting, or expected to last, 12 months or more?
Clear selection
Is there anything else you would like us to know at this point? For example, when is best to contact you, do you have any access needs or is there any additional support you need?
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