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First Name
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Last Name
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Email Address
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Phone Number
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Email
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Date of Birth
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Please enter the date you were born
How would you describe your gender?
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Male
Female
Non-binary
Transgender
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What is your ethnic group?
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Asian or Asian British
Black, Black British, Caribbean or African
White
Mixed or Multiple ethnic groups
Other ethnic group
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Are you a British Citizen
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Yes
No
What region of the UK are you based?
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North of England
East Midlands (England)
South Midlands (England)
North East (England)
North West (England)
South East (England)
South West (England)
Central Belt (Scotland)
Scottish Borders
Highlands and Islands (Scotland)
Wales (North)
Wales (South)
Northern Ireland
Isle of Man
Channel Islands
Not in the UK
What is your home postcode?
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Sport
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What of these terms best describes you?
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Casual Sportsperson
Academy Player / Athlete
Rookie (1st or 2nd Year Pro)
Mid-Career Professional
Senior Sportsperson
Retired / Transitioning Sportsperson
Are you a para-athlete?
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Yes
No
How did you hear about us / What organisation are you from?
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GLL
Half Turn
Premier League
English Football League (EFL)
Women's Super League (WSL)
Netball Players Association (NPA)
Referral (from a friend/colleague or other)
Word of mouth
Social media / online
Other
First Steps Programme
Mintridge Foundation
Dame Kelly Holmes Trust
The True Athlete Project
Reboot
Human First Programme
Do you have any physical or mental conditions or illnesses that have lasted or are expected to last 12 months or more?
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Yes
No
What is your religion, even of you are not currently practicing?
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Buddhist
Hindu
Jewish
Muslim
Sikh
Any other religion
No religion
Don't know
Prefer not to say
Christian (including Church of England, Catholic, Protestant and all other Christian denominations)
Which of the following options best describes how you think about yourself?
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Heterosexual/Straight
Gay or Lesbian
Bisexual
Other
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Please let us know a few dates in the next 2 weeks to have a Discovery Call with a member of our team. This will be to discuss the support options available to you.
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Details
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