Cathy Waller Company Monitoring Survey 
Thank you filling in our monitoring data questionnaire. This should take between 2-5minutes to complete.

All answers are anonymous, and you won't be asked for any identifiable information.

This data helps us to better understand who we engage and to help make improvements in our reach and impact. 
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What is the nearest UK Town or City to where you live? 

(If you live outside of the UK please state your country of residence)
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What is your postcode? 

(UK only)

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Age:

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Gender identity:

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Do you identify as D/deaf, disabled and/or living with a long-term health condition?

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Please specify if you relate to any other disability / health / neurodiversity identities

Ethnicity

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Sexual Orientation

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What was the occupation of the main/highest income earner in your household, when you were 14? 


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