Skip to content
Shape Arts Equality and Diversity Monitoring Form (2026-27)
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.)
Woman
Man
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.
Have you experienced barriers as a result of being working class?
(Required.)
Yes
No
Prefer not to say
*
11.
Are you currently precariously employed and/or on a zero hours contract?
(Required.)
Yes
No
Prefer not to say
*
12.
Have you experienced homelessness?
(Required.)
Yes
No
Prefer not to say
*
13.
Have you experienced the criminal justice system?
(Required.)
Yes
No
Prefer not to say
*
14.
Are you or have you at any point been a refugee or asylum seeker?
(Required.)
Yes
No
Prefer not to say
*
15.
Have you experienced barriers because of your country of origin?
(Required.)
Yes
No
Prefer not to say
16.
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
