Your Experience in Mind: Survey champions model

First name*

Last name*

Email*

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Why are we asking for all this information? We would like to mention why we are asking for certain information on demographics. In current and previous projects, we have found that there are great programmes serving people from backgrounds which are commonly underserved. We want to ensure that we have a network that is inclusive and diverse, and to ensure we have lived experience advisors who reflect this.

Age*

Gender

Gender self description

Support

Sometimes after talking about topics like mental health, people feel they need a little extra support or someone to chat to. What support do you currently have in place (e.g. supportive friends, family, health professionals or mental health charities)? Is there anything that McPin could do to support you or make your involvement experience better?

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Your Experience in Mind: Survey champions model

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