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GENDER AWARE LEADERSHIP SCORE CARD

2. Name of leader being assessed or self assessed *This question is required.
3. Age Group *This question is required.
4. Educational Level *This question is required.
5. Country & Province *This question is required.
6. Are you living with a disability? *This question is required.
If Yes please select disability type? *This question is required.
7. Sex *This question is required.
This question requires a valid email address.
11. How do you rate yourself of the leader you are rating: 
1. Very poor  2. Poor         3. Satisfactory          4. Good        5. Very good *This question is required.