To submit, please take the time to fill out the information below.
I would like to be able to credit you in the written piece and your contributions.
I would like to capture a wide age range in my research, although under-18's are not able to participate on their own at this time.
Only people with a connection to E17 are being asked
to participate at this time.
The field is left open so you can describe as you wish.
I would like to capture a wide ethnic background range in my study to reflect the Walthamstow population.
It will only be used for internal purposes.