Diversity Survey Question Title Please indicate the option which best describes your age 0-20 21-30 31-40 41-50 51-60 61+ I do not wish to disclose this Question Title Please indicate your gender Male Female I do not wish to disclose this Question Title Please indicate the option which best describes your marital status Married Single Living with partner Civil Partnership Legally Separated Divorced Widowed I do not wish to disclose this Question Title Please indicate the option which best describes your sexual orientation Lesbian Gay Bisexual Heterosexual I do not wish to disclose this Question Title Please indicate the option which best describes your ethnic origin Asian or Asian British - Bangladeshi Asian or Asian British - Indian Asian or Asian British - Pakistani Any other Asian Background Black or Black British - African Black or Black British - Caribbean Any other Black Background Mixed - White & Asian Mixed - White & Black African Mixed - White & Black Caribbean Any other mixed background White - British White - Irish Any other White background Chinese Any other ethnic group I do not wish to disclose this Question Title Please indicate the option which best describes your religion or belief Agnosticism Atheism Buddhism Christianity Hinduism Islam Jainism Judaism Sikhism Other I do not wish to disclose this Question Title Do you consider yourself to have a disability? Yes No I do not wish to disclose this information Question Title Please state the type of impairment which applies to you. People may experience more than one type of impairment, in which case you may indicate more than one. If none of the categories apply, please mark 'other'. Physical Impairment Sensory Impairment Mental Health Condition Learning Disability/Difficulty Long-standing illness Other I do not wish to disclose this information Question Title Which programme are you attending? Done
