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Easy Read Example
About you
1.
Your name
Please add your name in the box
A box to write your answer in
2.
Your email
Email
A box to write your answer in
3.
How old are you?
Please add you age in the box
A box to write your answer in
4.
What gender are you?
This is how you describe yourself
You can choose 1 answer
Woman
Man
Non-binary
None of these
5.
Do you have a disability or issue with your health that stops you doing things?
You can choose 1 answer
Yes
No
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