Equality, diversity, and inclusion (EDI) monitoring form 2024 - Lay Council Members

1. Equality, diversity and inclusion data

 

The GOC is committed to treating everyone fairly, regardless of age, gender, disability or long-term health condition, gender reassignment, ethnicity, religion or belief, sexual orientation, marital status, pregnancy or maternity/paternity status, and carer responsibilities.

Completing this form is mandatory. We very much appreciate you doing so, as this will help us to measure and report on the impact of our processes, practices, and culture on EDI. For each question there is an option to ‘prefer not to say’. 

For more information about why we collect EDI data and what we hope to achieve, please see our Approach to EDI monitoring statement. Information provided will be treated in the strictest confidence and in line with the relevant data protection legislation, stored securely on our system and will be only used for monitoring purposes, including publication in our annual monitoring report. No information provided will be published in any way which allows any individuals to be identified.

Name *

 

GOC registration number (if applicable)

 

Date of birth (DD/MM/YYYY or Prefer not to say) *

 

Gender *

 

Sexual orientation *

 

Marital status *

 

Ethnicity *

 

Religion/Belief
*

 

Disability

The Equality Act 2010 defines disability as a physical or mental impairment which has a substantial long-term effect on a person’s ability to carry out normal day to day activities.

Do you consider yourself to have a disability?
*

 

Pregnancy/maternity/paternity

Are you pregnant, on parental leave, or returning from parental leave? *

 

Gender identity

My gender identity is different from the gender I was assigned at birth: *

 

Carer Responsibilities

Do you perform the role of a carer
*

 

Social mobility

 

What was the occupation of your main household earner when you were aged about 14? *