Name *

Organisation *

Area Of the city *

Telephone Number *

Please let us know a little about your group such as the age of the group, gender, how and why the young people access your service. *

Please let us know a little about the groups previous SRE (sex and relationship education) and your organisations policies and procedures on SRE. *

So that we can start to plan a session we need to know about practical issues such as where do you plan a session to take place? *

What time and day would be best for the group? *

Do you think there would be any issues for the group such as learning needs? *

Do you feel the group have any issues around SRE? *

Would you like the session to look at any specific areas? *

Do you have any other comments?

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