Your Name
*
Your Telephone Number
Email
*
example@example.com
Are you Roman Catholic?
*
Please Select
Yes
No
How can we help you?
*
How easy is it for you to talk about your experiences?
*
1 (OK)
2
3
4
5 (Really hard)
How would you like us to follow up this first contact?
*
Information Pack by post
E-mail
Telephone
Person to person interview
Would you prefer not to see a priest initially, but would like to talk to a female member of our team?
*
Yes
No
Have you already spoken with your parish priest?
*
Yes
No
Do you or your ex-spouse currently live in the East Anglia Diocese(Norfolk, Suffolk, Cambridgeshire)?
Yes
No
Did the former marriage take place in the East Anglia Diocese?
Yes
No
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