This information will help us to direct you to the most appropriate service(s) and to monitor the diversity of the services. Data will be anonymised and does not affect the level of service you receive from the Leicester LGBT Centre. To find out more information. Please see our Privacy Policy.

Name *
Name
Location *
Client age *
Client gender *
Do you identify as transgender? *
Client sexual orientation *
Ethnicity *
Religion *
Do you identify with having a disability? *