Log in
Home
Start
My Services
My Genie
About
Using Genie
Activities
Health
Learning
Support
Independent
Living
Volunteering
Online Support
General Information about you
Click 'Next page' once you have completed information.
Postcode
We need this to find services near you.
Name
Optional
Email
Optional*
*If you give your email address, and agree to the terms below, we'll save your answers and email you a login so you won't need to take the questionnaire again.
If you do not have an email address, you can create one by
clicking here
.
I agree to the GENIE terms.
I agree that my Genie facilitator can have access to the information I provide in Genie.
Facilitator
---------
Facilitator 1
Marty Climenhaga
Claire Dodds
test facikiator
Nick Sandison
John's test User
Ivo Vassilev
Please select your gender:
Male
Female
Please select your age range:
18-24
25-40
41-55
56-65
66+
Do you have any of the following health conditions?
Arthritis
Diabetes
Heart Problems
Kidney Problems
Mental health problems
Other health conditions
Respiratory problems
Stroke
Click all that are appropriate to you
Next Page
Tweet us
GENIE ® is a registered trademark of the University of Southampton