How well are your innate emotional needs being met? To take part in this nationwide project, please first take a moment to fill in your general details below.

Sex:

Male  Female

Age:

10 to 20  21 to 30  31 to 40  41 to 50  51 to 60  61 to 70  71 or above

Currently:

Are you at school?  Are you a student?  Are you employed?  Are you self-employed?  Are you unemployed?  Are you retired?

Are you a parent still responsible for your children?

Yes  No

Are you a full-time carer?

Yes  No

Do you live in the United Kingdom?

Yes  No

What is your postcode, area or zip code?

How would you describe the area where you live?

Town (urban)  Suburban  Semi-rural  Rural

Do you suffer from any unexplained physical symptoms?

Yes  No