Please give the following details about yourself by placing a tick ( ) in the brackets.

Boy ( ) or Girl ( )

I was born in the UK Yes ( ) No ( )

I went to primary school in Britain Yes ( ) No ( )

My age last birthday was 13 ( ) 14 ( ) 15 ( ) 16 ( )

At home I speak Only English ( ) Only our mother tongue ( ) Both ( )

Please state your father’s job -----------------------------------------------------------------------

Please state your mother’s job -----------------------------------------------------------------------

Please state the religion of your family-------------------------------------------------------------

Do you visit your place of worship: Once a week ( ) or Once a month ( ) or On special occasions ( ) or never ( )

Is your best friend of Indian/Pakistani/Bangladeshi origin? Yes ( ), if no, please give his/her ethnic origin ------------

Do you consider yourself to be: (Please tick only one box)

British ( ) Indian ( ) Pakistani ( ) Bangladeshi ( ) Asian ( ) Asian-British or British Asian ( ) Any other, please state --------------