Equal Opportunities Monitoring Form

Question Title

* Company who you're in residency with at 101 (if different from above)

Question Title

* What project/ event has brought you to 101?

Acrolab

Residency

Rural Touring Lab

Sharing

Shedonism

Summer School

Toolbox

Other (please specify)

Question Title

* Gender

Female

Male

Non-binary

Prefer not to say

If you prefer to use your own term, please specify here

Question Title

* Is your gender different to the sex you were assumed to be at birth?

Yes

No

Prefer not to say

Question Title

* Are you married or in a civil partnership?

Yes

No

Prefer not to say

Question Title

* Age

0-19

20-34

35-49

50-64

65-74

75+