IGLYO's Diversity Monitoring Survey (Keep the Faith conference, October 2012)

1.

Question Title

* 1. Gender identity

Female

Male

Prefer not to specify

Other (please specify)

Question Title

* 2. Do you, or have you ever, identified as trans?

Yes

Comments

Question Title

* 3. Age group

Under 18

18-21

22-25

25-27

28-30

31-35

35-40

40+

Prefer not to specify

Question Title

* 4. Sexual orientation

Lesbian

Gay

Queer

Straight/hetero

Prefer not to specify

Other (please specify)

Question Title

* 5. Belief or religion

Atheism

Agnosticism

Christianity

Judaism

Islam

Buddhism

Hinduism

Jainism

Sikhism

Spiritual without affiliation

Prefer not to specify

Other (please specify)

Question Title

* 6. Ethnicity

Arab (Middle Eastern)

Arab (North African)

European Arab descent

East Asian

South Asian

Southeast Asian

African

European of African descent

Caribbean African descent

North American African descent

Hispanic (Iberian)

Hispanic/Latino (Latin American)

Pacific Islander

White (British)

White (European)

White (North American)

White (other)

Mixed

Prefer not to specify

Other (please specify)

Question Title

* 7. Education level

In high school

High school degree

University/Bachelors degree

Post-Graduate (MA, PhD) degree

Prefer not to specify

Other (please specify)

Question Title

* 8. Occupation

Studying

Volunteering

Employed

Unemployed

Self-employed

Other (please specify)

Question Title

* 9. Do you consider yourself to have a disability?

Yes

Prefer not to specify

If yes, please explain: