Equality Monitoring questionnaire - Anonymous collection

Question Title

* 1. What age are you?

16-24

25-34

35-44

45-54

55-64

65+

Prefer not to say

Question Title

* 2. Please tick the box which best describes your belief or religion from the list below

Buddhism

Catholic

Christian

Hinduism

Islam

Judaism

Protestant

Sikhism

No specific belief (for example atheism or agnosticism)

Other belief (for example humanism)

Prefer not to say

Question Title

* 3. Are you a person living with a disability?

Yes

if yes please tick the box which category you would use to from the following list:

Learning disabilities

Mental health issue (for example bi-polar, depression)

Neuro-divergent condition (for example Autistic spectrum, Dyslexia, Dyspraxia)

Physical impairment (for example wheelchair user, cerebral palsy)

Sensory impairment (hearing impairment, visual impairment)

Other

Prefer not to say

Question Title

* 4. Ethnicity - Please tick the box that best describes your particular group

African, African Scottish, African British including Caribbean

Other African background

Asian, Scottish Asian or British Asian including Indian, Bangladeshi, Pakistani, Chinese

Any other Asian background

Scottish

English

Irish

Welsh

Gypsy/Traveller

Roma

White European

Any other White background

Arab, Arab Scottish or Arab British

Other group - Please specify your ethnic group

Prefer not to say

Question Title

* 5. What is your sex?

Male

Female

Intersex

Prefer not to say