Equal Opportunities Monitoring Form

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The Bush Theatre strives to be an Equal Opportunities Employer and to ensure that no person is unfairly discriminated against by any of our employment practices. As a publicly funded organisation, The Bush Theatre is required to monitor the characteristics of all employees, freelancers, Board Members, and volunteers. This questionnaire is a useful tool for us to assess how well we are achieving our aims so we encourage you to fill it out honestly and completely, however it is not obligatory.

The contents of this form will be anonymised and kept securely prior to destruction in accordance with our Data Protection Policy. Information is used for monitoring purposes only.

Email *

Age Category *

What age bracket were you in at the 31 March?

Disability *

Do you consider yourself to have an impairment or health condition that has a 'substantial’ and ‘long-term’ negative effect on your ability to do regular daily activities such as a physical impairment or mobility issue, blind or visual impairment, d/Deaf or hearing impairment, Illness or health condition (e.g. cancer, HIV, diabetes, chronic heart disease, epilepsy, ME), mental ill health (e.g. bipolar, schizophrenia, depression or anxiety disorder) or any other impairment or illness substantially affecting your daily life?

Neurodiversity *

Do you consider yourself to have a neurodevelopmental difference that may affect communication or social preferences (e.g. Asperger’s syndrome, Autistic spectrum, AD(H)D, OCD), affect speech and language (e.g. Tourette’s, stuttering or muteness), a specific learning difference (e.g. dyslexia, dyspraxia, dyscalculia) or any other difference?

Ethnic Origin & Cultural Background *

Arts Council England recommends classification or ethnicity by a combination of colour and ethnic origin as indicated in the drop-down menu. How would you define your ethnicity?

Religion *

What is your religion or belief?

Gender Identification *

How would you define your gender?

Gender Identification *

Is your gender identity different to the sex you were assumed to be at birth?

Sexual Orientation *

Arts Council England recommends classification, with the divisions used below. How would you define your sexual orientation?

Socio-Economic Background *

What was the occupation of the main/highest income earner in your household when you were 14?

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