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Communities and Faith Leaders Workshop Booking
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Name
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First Name
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Job Title
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Organisation
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URN / SEED
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Phone
Email
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Postcode
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Please enter the postcode of your organisation or workplace.
Geographic Region
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Date of Birth
*
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This information is required so that we can provide you with a certificate from City & Guilds. You must be 18 or over to receive the City & Guilds certificate.
Your young person reach
*
0-50
51-100
101-150
151-200
201-250
250-500
500-1000
1000+
How many young people will you be delivering this topic to in the next 12 months?
Age Range
*
Education: KS2
Education: KS3, 4, and/or 5
Education: 16+/Further Ed
Youth Work
Other
Ethnicity of Young People
*
English, Welsh, Scottish, Northern Irish or British
Irish
Gypsy or Irish Traveller
Any other White background
White and Black Caribbean
White and Black African
White and Asian
Any other Mixed or Multiple ethnic background
Indian
Pakistani
Bangladeshi
Chinese
Any other Asian background
African
Caribbean
Any other Black, African or Caribbean background
Arab
Any other ethnic group
How would you rate your current level of knowledge on:
How much do you agree with the following statements: Please rate between 1-5, where: 1 = strongly disagree, 2 = disagree, 3 = neither agree/disagree, 4 = agree, 5 = strongly agree.
I understand what gambling related harm is:
Strongly Disagree
Disagree
Neither agree/disagree
Agree
Strongly Agree
I understand the link between gambling and gaming:
Strongly Disagree
Disagree
Neither agree/disagree
Agree
Strongly Agree
I can recognise signs of gambling related harm:
Strongly Disagree
Disagree
Neither agree/disagree
Agree
Strongly Agree
I can signpost others to appropriate support services if I notice gambling and/or gaming related harms:
Strongly Disagree
Disagree
Neither agree/disagree
Agree
Strongly Agree
Gambling can have a negative impact on mental health:
Strongly Disagree
Disagree
Neither agree/disagree
Agree
Strongly Agree
I understand that gambling is perceived differently in different communities:
Strongly Disagree
Disagree
Neither agree/disagree
Agree
Strongly Agree
I understand the links between impoverished areas and gambling and gambling related harm:
Strongly Disagree
Disagree
Neither agree/disagree
Agree
Strongly Agree
I feel comfortable talking to young people (under 25 years old) about gambling and gaming:
Strongly Disagree
Disagree
Neither agree/disagree
Agree
Strongly Agree
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