JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Make and Mend sign up
We have been awarded the Cost of Living fund to provide these sessions. The information below will only be shared with the funders, they have asked for this information as part of their evaluation.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First name
*
Your answer
Surname
*
Your answer
Email address
*
Your answer
Gender
*
Your answer
Age
*
Under 16 years
16 to 25 years
26 to 39 years
40 to 64 years
65 to 74 years
75 to 90 years
90 plus years
Prefer not to say
Post code
*
Your answer
Ethnicity
*
Your answer
Caring responsibilities?
*
None
Carer
Prefer not to say
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
