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Shape Arts Equality and Diversity Monitoring Form (2025-26)
1.
Description of opportunity or event
*
2.
Please indicate your age category
(Required.)
18-19
20-34
35-49
50-64
65+
Prefer not to say
Not known
*
3.
How would you describe your ethnicity?
(Required.)
Black / Black British - African
Black / Black British - Caribbean
Any other Black/African/Caribbean background
Asian / Asian British - Indian
Asian / Asian British - Pakistani
Asian / Asian British - Bangladeshi
Asian / Asian British - Chinese
Asian / Asian British - Any other Asian background
Mixed - White and Black Caribbean
Mixed - White and Black African
Mixed - White and Asian
Mixed - Any other Mixed ethnic background
White - White British
White - White Irish
White - Gypsy or Irish Traveller
White - Any other White background
Other - Arab
Other - Any other ethnic group
Other - Not known
Other - Prefer not to say
I identify in another way (please describe)
*
4.
Please indicate the disability related category that you feel best represents you.
(Required.)
Disabled Person
Person with long term health condition
Person with access requirements
Non disabled/no health conditions/no access requirements
Prefer not to say
Not known
I identify differently to any of the given categories (please describe)
*
5.
How would you describe your gender?
(Required.)
Female
Male
Non-binary
Prefer not to say
In another way (please describe)
*
6.
Is your gender identity different to that which it was assumed to be at birth?
(Required.)
Yes
No
Prefer not to say
*
7.
Please indicate the sexual orientation category that you feel best represents you.
(Required.)
Gay Man
Gay Woman/Lesbian
Heterosexual/Straight
Bisexual
Prefer not to say
I identify differently to any of the given categories (please describe)
*
8.
How would you describe your faith or religion?
(Required.)
I have no faith or religion
Prefer not to say
My faith or religion is (please describe)
*
9.
Where did you see this opportunity advertised?
(Required.)
*
10.
Please indicate the occupation of the main/highest income earner in your household when you were 14.
(Required.)
Modern Professional Occupations - include teacher, nurse, physiotherapist, social worker, musician, police officer (sergeant or above), software designer.
Clerical and Intermediate Occupations - include secretary, personal assistant, clerical worker, call centre agent, nursery nurse.
Senior Managers and Administrators - are usually responsible for planning, organising and co-ordinating work, and for finance, and include finance manager, chief executive.
Technical and Craft Occupations - include motor mechanic, plumber, printer, electrician, gardener, train driver.
Semi-Routine Manual and Service Occupations - include postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, sales assistant.
Routine Manual and Service Occupations - include HGV driver, cleaner, porter, packer, labourer, waiter/waitress, bar staff.
Middle or Junior Managers - include office manager, retail manager, bank manager, restaurant manager, warehouse manager.
Traditional Professional Occupations - include accountant, solicitor, medical practitioner, scientist, civil / mechanical engineer.
Short Term Unemployed - they claimed unemployment benefit for under a year.
Long Term Unemployed - they claimed unemployment benefit for more than a year.
Retired
Not applicable
Prefer not to say
Not known
Other (please specify)
*
11.
Have you experienced barriers as a result of being working class?
(Required.)
Yes
No
Prefer not to say
Not known
*
12.
Are you currently precariously employed and/or on a zero hours contract?
(Required.)
Yes
No
Prefer not to say
Not known
*
13.
Have you experienced homelessness?
(Required.)
Yes
No
Prefer not to say
Not known
*
14.
Have you experienced the criminal justice system?
(Required.)
Yes
No
Prefer not to say
Not known
*
15.
Are you or have you at any point been a refugee or asylum seeker?
(Required.)
Yes
No
Prefer not to say
Not known
*
16.
Have you experienced barriers because of your country of origin?
(Required.)
Yes
No
Prefer not to say
Not known
17.
If you feel you have experienced other barriers not covered by the above, on which you feel we might be able to ask for data, please tell us here. This will help us refine this process and improve both our reporting and our actions
