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Equality & Diversity Monitoring Information

Literature Wales aims to provide fair and equal access to all its activities. This questionnaire will help us monitor the effectiveness of our Equality Policies, and how we are complying with the 2010 Equality Act. Completion of this anonymous form is voluntary.
1.What is your gender?
2.What is your age?
3.What is your nationality?
4.How would you describe your ethnic group?
5.Do you have any long-standing physical or mental health condition, illness, impairment, or disability?
(i.e., has lasted or is expected to last at least 12 months and adverse effect on your ability to carry out normal day-to-day activities.)
6.Are you?

Tick all that apply
7.If not in employment, are you?
8.Would you say your annual household income is:

(This guide may help you identify average income levels.)
9.Can you understand, speak, read and / or write Welsh?
Please rate your level of fluency (1 least fluent – 4 most fluent)
0
4
10.Can you understand, speak, read and / or write English?
Please rate your level of fluency (1 least fluent – 4 most fluent)
0
4
11.What is the first part of your postcode?

E.g., SA32
12.Please note any other languages you can understand, speak, read or write.