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Sexual Health Survey for Adults Age 45+
Page 1 of 6
Closes
11 Sep 2026
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About You
1. What is your age group?
(Required)
45–54 years
55–64 years
65–74 years
75–84 years
85–95 years
2. How would you describe your gender?
(Required)
Male
Female
Trans man
Trans woman
Non-binary
Other (please specify)
Prefer not to say
Please specify
3. What is your sexual orientation?
(Required)
Heterosexual (Straight)
Gay or Lesbian
Bisexual
Asexual
Pansexual
Other (please specify)
Prefer not to say
Please specify
4. How would you describe your ethnicity?
(Required)
Asian or Asian British (e.g. Indian, Pakistani, Bangladeshi, Chinese)
Black, Black British, Caribbean or African
Mixed or Multiple Ethnic Groups
White
Other Ethnic Group (please specify)
Prefer not to say
Please specify
5. Do you experience any of the following health conditions or difficulties? (Select all that apply)
(Required)
Mobility difficulties
Difficulty with self-care (e.g. washing, dressing)
Pain or discomfort
Anxiety and/or depression
Difficulty carrying out day-to-day activities
None of the above
Prefer not to say
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