First name * Last name * Email address * Please tell us whether you will be attending as a Camden resident or professional User of Camden Mental Health Services Carer of someone living in Camden Professional Camden resident interested in the event What is your ethnic group? White: English/Welsh/Scottish/Northern Irish/British White: Irish White: Gypsy or Irish Traveller White: Any other White background Mixed: White and Black Caribbean Mixed: White and Black African Mixed: White and Asian Mixed: Any other mixed/multiple ethnic background Asian or Asian British: Indian Asian or Asian British: Pakistani Asian or Asian British: Bangladeshi Asian or Asian British: Chinese Asian or Asian British: Any other Asian background Black or Black British: Black African Black or Black British: Black Caribbean Black or Black British: Any other Black/African/Caribbean background Other Prefer not to say From another ethnic group? Please state below How old are you? Under 16 16-18 19-25 26-35 36-45 46-55 56-64 65-74 Over 75 Prefer not to say Which of the following describes your sexual orientation? Heterosexual 'straight' Gay, lesbian, homosexual Bisexual Prefer not to say If other, please state below What is your gender? Female Male Transgender Non-binary Prefer not to say If other, please state below Do you have a disability Yes No Prefer not to say If yes, please state below
