Equality and diversity monitoring form

Question Title

1. Gender identity

Male (including trans men)

Female (including trans women)

Non-binary

Prefer not to say

Question Title

2. Age

0-19

20-34

35-49

50-64

65 and over

Question Title

3. Ethnicity
Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box

White - British

White - Irish

White - Gypsy or Irish Traveller

Any other white background

Mixed - White and Black Caribbean

Mixed - White and Black African

Mixed - White and Asian

Any other Mixed background

Asian/Asian British - Indian

Asian/Asian British - Pakistani

Asian/Asian British - Bangladeshi

Asian/Asian British - Chinese

Any other Asian background

Black/Black British - African

Black/Black British - Caribbean

Any other Black background

Arab

Latin American

Any other ethnic group

Prefer not to say

Question Title

4. Disability

Identify as a deaf or disabled person, or have a long term health condition

Non-disabled

Prefer not to say

Question Title

5. Sexual orientation

Bisexual

Gay man

Gay woman/Lesbian

Heterosexual/Straight

Queer

Prefer not to say

Equality and diversity monitoring form

Question Title

* 1. Gender identity

Question Title

* 2. Age

Question Title

* 3. EthnicityEthnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box

Question Title

* 4. Disability

Question Title

* 5. Sexual orientation

Question Title

* 6. How did you hear about this position?

1. Gender identity

2. Age

3. Ethnicity
Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box

4. Disability

5. Sexual orientation

6. How did you hear about this position?