Happily Application Contact Form
This is the form you fill in to show you are interested in joining
* Required
Would you like to join happily friendship and dating project?
*
Yes I would like to join
Yes I am completing this form for someone I support
We are currently operating in 9 West London boroughs and can only support people living in this area. Which borough do you live in?
Hammersmith & Fulham
Kensington & Chelsea
Westminster
Brent
Ealing
Hounslow
Richmond upon Thames
Wandsworth
Harrow
Clear selection
First name
*
Your answer
Second name
*
Your answer
Your gender
*
Male
Female
Other:
How old are you?
*
Your answer
Are you looking for friendship?
*
Yes
Maybe
No
If you ticked yes, can you tell us more?
Your answer
Are you looking for a relationship?
*
Yes
Maybe
No
If you ticked yes, can you tell us more?
Your answer
happily is for adults with learning disabilities and autism. What are your disabilities?
*
Your answer
What is your email address?
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Your answer
What is your best contact number?
*
Your answer
How did you hear about happily?
*
Searching online
Advert
It was recomended to me
Other:
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