Name
*
Age
*
Gender
*
Please select
Male
Non- Binary
Female
Other
Prefer not to say
Ethnicity
*
Please select
White/White British
Black/Black British
Asian/Asian/British
Mixed
Other
Education
*
Please select
No Qualification/GCSE or O Level
GCE, A-level/vocational
Degree, Masters, Phd etc
Religion
*
Please select
None
Christian/Catholic
Hindu
Muslim
Sikh
Jewish
Other
SCD status
*
Carrier
Affected Individual
Neither
Have/have had a child affected by SCD?
*
Yes
No
Had invasive prenatal testing during pregnancy for SCD - e.g. amniocentesis or CVS test?
*
Yes
No
Do you know anyone with SCD?
*
Yes
No
What is your association with SCD?
*
Why do you want to participate in this study?
*
What is your email address?
*
What is your telephone number?
*
What is your location?
*
Would you be happy to participate in a video/audio-recorded interview?
*
Yes
No
Submit