Inclusion Survey - Project Proposal

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fountain arts CIC is a creative arts project for everyone. Our aim is to increase arts engagement in North Lincolnshire by using unused spaces for projects, studios and learning. www.fountainarts.org @fountain_arts

Every 3 months we invite proposals from creative people to use our project space. The project space has expansive windows, natural light, Wifi and busy footfall.

Our community panel will select projects to develop with the creative person/people who proposed them.

As part of your Project Application we ask that you complete our Inclusion Survey below:

Your Post Code *

We ask this so that we can ensure we reach everyone.

Age *

We ask this so that we can ensure we reach everyone.

Under 16

16-18

18-24

25-34

35-44

45-54

55-64

65 or older

Prefer Not to Say

Not known

Other:

Required

Are your day to day activities limited because of a health condition or disability? *

We ask this so that we can ensure we reach everyone.

Yes, day to day activities limited a little

Yes, day to day activities limited a lot

Prefer Not to Say

Not Known

Required

Ethnicity *

We ask this so that we can ensure we reach everyone.

Asian or Asian British

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background

Black or Black British

African

Caribbean

Any other Black Background

Mixed/multiple ethnic background

White and Black Carribean

White and Black African

White & Asian

Any other mixed background

Not Known

Other

Arab

Prefer Not to Say

White British

Irish

Gypsy or Irish Traveller

Any other White background

Other:

Required

Gender *

We ask this so that we can ensure we reach everyone.

Female

Male

Non-binary

Prefer not to say

Not known

Other:

Required

Sexual Orientation *

We ask this so that we can ensure we reach everyone.

Bisexual

Gay man

Gay woman (or lesbian)

Heterosexual (or straight)

Queer (or none of the above)

Prefer Not to Say

Not Known

Other:

Required

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

We ask this so that we can ensure we reach everyone.

Modern professional & traditional professional occupations such as: teacher, nurse, physiotherapist, social worker, musician, police officer (sergeant or above), software designer, accountant, solicitor, medical practitioner, scientist, civil / mechanical engineer.

Senior, middle or junior managers or administrators such as: finance manager, chief executive, large business owner, office manager, retail manager, bank manager, restaurant manager, warehouse manager.

Clerical and intermediate occupations such as: secretary, personal assistant, call centre agent, clerical worker, nursery nurse.

Technical and craft occupations such as: motor mechanic, plumber, printer, electrician, gardener, train driver.

Routine, semi-routine manual and service occupations such as: postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, sales assistant, HGV driver, cleaner, porter, packer, labourer, waiter/waitress, bar staff.

Long-term unemployed (claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year).

Small business owners who employed less than 25 people such as: corner shop owners, small plumbing companies, retail shop owner, single restaurant or cafe owner, taxi owner, garage owner.

Other such as: retired, this question does not apply to me, I don’t know.

I prefer not to say.

Required

Which type of school did you attend for the most time between the ages of 11 and 16? *

We ask this so that we can ensure we reach everyone.

A state-run or state-funded school

Independent or fee-paying school

Independent or fee-paying school, where I received a means tested bursary covering 90% or more of the total cost of attending throughout my time there

Attended school outside the UK

I don’t know

I prefer not to say

Required

If you finished school after 1980, were you eligible for free school meals at any point during your school years? *

We ask this so that we can ensure we reach everyone.

Yes

Not applicable (finished school before 1980 or went to school overseas)

I don’t know

I prefer not to say

Option 6

Other:

Required

Did either of your parents attend university and gain a degree (e.g. BA/BSc or equivalent) by the time you were 18? *

We ask this so that we can ensure we reach everyone.

No, neither of my parents attended university

Yes, one or both of my parents attended university

Do not know / not sure

I prefer not to say

Required

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