Medway Wellbeing Month - HIV Myth Busting Quiz
5 Questions
You must be 17 or over and live in Medway to take part.
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First Name
Last Name
Email
Phone Number
Which age range are you in?
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select
17-24
25-34
35-44
45-54
55-64
65-74
75+
How would you describe your gender?
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select
Female
Male
Non-binary
Gender fluid
Queer
Intersex
Prefer not to say
Does your gender match the sex you were registered at birth?
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select
Yes
No
Other
Prefer not to say
How would you describe your sexual orientation?
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select
Heterosexual/Straight
Lesbian
Gay
Bisexual
Queer
Pansexual
Questioning
Man who has sex with Men
Woman who has sex with Women
Asexual
Other
Prefer not to say
What option best describes your ethnic group or background?
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select
English/Welsh/Scottish/Northern Irish/British
Irish
Gypsy or Irish Traveller
Other White background
White and Black African
White and Asian
Other Mixed/Multiple ethnic background
Indian
Pakistani
Bangladeshi
Chinese
Other Asian background
African
Caribbean
Other Black/African/Caribbean background
Arab
Other ethnic group, please describe
What is your postcode?
I am happy to hear more from METRO Charity and A Better Medway using my details above.
Select a Match
Yes
No
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