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Equality and Diversity Monitoring
Indication of age
*
18 - 19
20 - 29
30 - 39
40 - 49
50 - 59
60+
Prefer not to say
How would you describe your gender?
*
Female
Male
Non-Binary
Prefer not to say
Other
Is this the gender you were assigned at birth?
*
Yes
No
Prefer not to say
How do you describe your ethnicity?
*
Arab
Asian / Asian British - Bangladeshi
Asian / Asian British - Chinese
Asian / Asian British - Pakistani
Asian / Asian British - Indian
Any other Asian background
Black / Black British - Caribbean
Black / Black British - African
Any other Black/ African/ Caribbean background
Mixed or multiple ethnic groups: Asian and White
Mixed or multiple ethnic groups: Black African and White
Mixed or multiple ethnic groups: Black Caribbean and White
Any other Mixed or Mixed or multiple ethnic background
White - English, Welsh, Scottish Northern Irish or British
White - Gypsy or Irish Traveller
Any other White background
Any other ethnic groups
Prefer not to say
Other
How would you describe your sexual orientation?
*
Bisexual
Gay man
Gay Women / Lesbian
Heterosexual / straight
Prefer not to say
Other
How would you describe your faith, religion or belief?
*
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
No Religion
Atheist
Prefer not to say
Other
The Equality Act 2010 defines a person as disabled if they have a physical or mental impairment which has a substantial and long-term adverse effect on the person’s ability to carry out normal day-to-day activities.
The social model of disability says that people are disabled by barriers in society and the way that society is organised, rather than by a person’s impairment or difference.
Do you consider yourself to be a disabled person according to the legal definition or to the social model?
*
Yes
No
Prefer not to say
If Yes, is your disability related to any of the follow?
*
Learning disability (e.g. Dyslexia, dyspraxia)
Mental health Condition (e.g. Anorexia, depression, Schizophrenia)
Physical Impairment (e.g. Amputation, Wheelchair users, manual dexterity issues)
Cognitive Impairment (e.g. Autism, head injury)
Long term illness/ health condition (e.g. asthma, diabetes, epilepsy, Multiple Sclerosis)
Sensory Impairment (e.g. Blind, Deaf, Gluacoma, hearing or visual impairment
Other
Do you have caring responsibilities that impact on your capacity to work or undertake this kind of opportunity
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Yes
No
What type of school did you mainly attend between the ages of 11 and 16?
*
State-run or state-funded school - no selective
State-run or state-funded school - selective on academic, faith or other grounds
Independent or fee-paying school - no bursary
Independent or fee-paying school - bursary
Attended school outside of the UK
Don't know
Prefer not to say
Other
What is the highest level of qualifications achieved by either of your parent(s) or guardian(s) by the time you were 18?
*
No formal qualifications
Qualifications below degree level
At least one has a degree level qualification
Don't know
Not applicable
Prefer not to say
What was the occupation of your main household earner when you were aged about 14?
*
Long term unemployed - claimed Jobseekers Allowance or earlier unemployed benefit for more than a year.
Routine, Semi-routine manual and service occupation - postal worker, machine operative, security guard, caretaker, farm worker, HGV driver, catering assistant, sales assistant, labourer, waitress / waiter, bar staff
Clerical and intermediate occupations - secretary, personal assistant, call centre agent, clerical worker, nursery nurse
Technical and craft occupations - Moto mechanic, plumber, printer, electrician, gardener, train driver
Small business owner employing less than 25 people - corner, shop owner, small plumbing companies, retail shop owners, small plumbing companies, retail shop owner, single restaurant or cafe owner, taxi owner, garage owner
Modern professional & traditional professional - teacher, nurse, physiotherapist, social worker, musician, police office (sergeant or above), medical practitioner, scientist, civil/ mechanical engineer
Senior, middle or junior managers or administrators - finance manager, chief execrative, larger business owner, office manager, bank manager, restaurant manager, warehouse manager
Other - retired/ this questions does not apply to me/ I don't know
Prefer not to say
Submit
