1. Have you lived continuously in the UK for the last 5 years?

1a. If no, please list all of the countries that you have lived in over the last 5 years:

2. Have you worked in any environments, within the UK, that may present a risk to your physical health, in the previous 5 years? A hazardous workplace environment would include but is not limited to the following:

- Exposure to Asbestos or other hazardous materials / chemicals
- Exposure to Lead
- Exposure to Biological Waste
- Exposure to Clinical Waste