Exit this survey DAO 2013 Audience Survey Question Title * 1. Please fill in your contact details in order to be eligible for the free prize draw. Your details will remain confidential and will not be passed on to any other parties. Name: Email Address: Phone Number: Question Title * 2. Would you like to receive our weekly listings bulletin? Yes please add me to your mailing list I'm already on the mailing list No, I don't want to be added to the mailing list at the moment I'm not sure, please contact me Question Title * 3. Post code ZIP/Postal Code: Question Title * 4. Which category below includes your age? 20 or younger 21-30 31-40 41-50 51-60 61-70 70 or older Question Title * 5. What is your gender? Male Female Transgender Question Title * 6. Ethnic background (list in accordance with Arts Council standard ethnicity form) White - British White - Irish White - Other Asian/Asian British - Asian Bangladeshi Asian/Asian British - Indian Asian/Asian British - Pakistani Any other Asian background Black or Black British - Black African Black or Black British - Black Caribbean Any other Black background Chinese Mixed - Asian and white Mixed - Black African and white Mixed - Black Caribbean and white Mixed - Chinese and white Not known / prefer not to answer Other (please specify) Question Title * 7. Sexual orientation Heterosexual / straight Gay / Lesbian Bisexual Prefer not to answer Other (please specify) Question Title * 8. Do you identify as a disabled person? Yes No Question Title * 9. Do you have specific requirements when accessing the internet? Question Title * 10. Are you interested in Disability Arts Online as: an artist an arts professional an audience member a researcher an arts educator a student an online community member a DAO community member Other (please specify) Next