Questionnaire

When answering the following question, please circle or place a tick next
to the appropriate answer.

1. Are you:

Male Female

2. Which age category do you fit into?

12-14 15-17 18-21 22-30 30+

3. Which category do you feel best represents you?

Heterosexual
Gay
Lesbian
Bisexual
Other
If other, please state an alternative option:

4. Do you know anyone who is a homosexual?

Yes No

5. Have you or anyone you know experienced homophobic abuse?

Yes No