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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
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What is your ethnic group?
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Asian or Asian British
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Are you a British Citizen
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What region of the UK are you based?
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North of England
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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
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
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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
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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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