Equality and Diversity Monitoring Form

The Ryde House Group aims to provide equal opportunities and fair treatment for all staff.

The information provided is anonymous and will not be stored with any identifying information about you. All details are held in accordance with the Data Protection Act 1998.

The information will be used to provide an overall profile analysis of our staff base. If you would like the form in an alternative format, or would like assistance in completing this form, please contact your manager.

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* 1. Please state what you consider your ethnic origin to be.

Asian - Indian

Asian - Pakistani

Asian - Bangladeshi

Asian - any other Asian background

Black - Caribbean

Black - African

Black - any other Black background

Chinese

Mixed - White and Black Caribbean

Mixed - White and Black African

Mixed - White and Asian

Mixed - any other mixed background

White - English

White - Irish

White - Scottish

White - Welsh

White - European

White - any other White background

Any other ethnic background

I prefer not to say

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* 2. Age Range

18-24

25-31

32-38

39-45

46-52

53-59

60-66

67-73

Over 74

I prefer not to say

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* 3. The Equality Act 2010 defines a person as disabled if they have a physical or mental impairment which has a substantial and long term (ie has lasted or is expected to last at least 12 months) adverse effect on one's ability to carry out normal day to day activities. This definition includes conditions such as cancer, HIV, mental illness and learning disabilities.

Do you consider yourself to have a disability according to the above definition?

Yes

I prefer not to say

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* 4. What is your gender?

Male

Female

Transgender F-M

Transgender M-F

I prefer not to say

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* 5. Faith

Which group do you most identify with?

No religion

Christian

Jewish

Baha'i

Hindu

Muslim

Buddhist

Jain

Sikh

Other

I prefer not to say

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* 6. Sexual Orientation

How would you describe your sexual orientation?

Heterosexual

Bisexual

Gay

I prefer not to say

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* 1. Please state what you consider your ethnic origin to be.

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* 2. Age Range

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* 4. What is your gender?

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* 5. FaithWhich group do you most identify with?

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* 6. Sexual OrientationHow would you describe your sexual orientation?

* 5. Faith

Which group do you most identify with?

* 6. Sexual Orientation

How would you describe your sexual orientation?