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Feedback Form

 

Here is my feedback form. I am keen to hear what you think of the site, and if you have any suggestions. Complaints are also welcome! Please tell me if you have had a problem with the site, i.e. something's not working

What is your name?   

How old are you? 

Where do you live? 

What is your email address?

Do you self harm (optional) yes  no

What kind of feedback would you like to give?

general comment   suggestion   problem   complaint   other

Please enter your feedback in the box below

 

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