Fabric Floor Equality & Monitoring Form
In order to help us pursue our ambition of reaching all sections of the community, please complete the questions below. Any responses shall be used for survey information only and will not influence the assessment of your application. All information is kept securely and will remain confidential. This will only be shared selected with third parties for the purposes of equality and monitoring.

Completing these questions is voluntary. If you do not wish to complete the form please leave the answers blank and submit the application.
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What gender do you identify as? *
What age group do you belong to? *
Do you live in Lambeth? *
If you do not live in Lambeth, please state which area of the UK you live in *
Do you have any neurological or physical disabilities? *
If you have any neurological or physical disabilities please state them here
What ethnicity do you identify as? *
If you identify as an ethnicity not listed in the previous question, below state it here.
If you wish to provide any further details please do so here.
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