Recruitment Equalities Form

1. Thank you for completing this anonymous survey. Your information will help us in our work to achieve greater diversity and equality.

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1. Which age group are you in?

18-25
26-35
36-45
46-55
56-65
66+
Prefer not to say

2. What is your ethnic group?
Choose one option that best describes your ethnic group or background

Asian/Asian British
Indian
Pakistani
Bangladeshi
Chinese
Any other Asian background
Black/Black British
African

Caribbean
Any other Black background
Mixed/Multiple ethnic group
White and Black Caribbean
White and Black African
White and Asian
Any other Mixed/Multiple ethnic background
White

British
Irish
Gypsy or Irish Traveller
Other Ethnic Group
Arab
Other
I do not wish to disclose my ethnic origin
Please add detail if not listed above

3. Do you have a disability?

Yes
No
Prefer not to say

4. What is your gender?

Male (including trans male)
Female (including trans female)
Non-binary

I identify as

5. Regarding sexual orientation, which group do you most identify with?

Bisexual
Homosexual
Heterosexual
Prefer not to say

I identify as

6. Where are you based?

North East England
North West England
East Midlands
West Midlands
South East England
London
South West England
Wales
Ireland
Northern Ireland
Scotland
Other (please specify):

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