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

answer.

1. Are you:

Male Female

2. Which category do you feel best represents you?

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

3. Do you know anyone who is a homosexual?

Yes No

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

Yes No

5. Do you feel that the issue of gay rights is important?

Yes No
 

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