Equal Opps Form

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Equal Opps Form

This form is designed, to help us understand who are reaching and where we need to do better. It is based on Arts Council England's monitoring form.

Age

What is your age?

0-19

20-34

35-49

50-64

65 and over

I prefer not to say

Clear selection

Ethnicity

How would you describe your ethnic origin?

Arab

Asian or Asian British - Bangladeshi

Asian or Asian British - Indian

Asian or Asian British - Pakistani

Asian or Asian British - Chinese

Any other Asian background

Black or Black British - African

Black or Black British - Caribbean

Any other Black/African/Caribbean background

Latinx

Roma:

Mixed - White and Asian

Mixed - White and Black African

Mixed - White and Black Caribbean

Mixed - White and MENA (Middle East and North African)

White - British

White - Irish

White - English

White- Scottish

White -Polish

White - Welsh

White - Northern Irish

Irish Traveller

Any Other White background

I prefer not to say

Not Listed

Gender

Female

Male

Non-binary

I identify in another way

Not Applicable

Prefer not to say

Not Known

Sex

Female

Male

Intersex

I prefer not to say

Not Known

Is your gender identity different to what you were assigned at birth?

Yes

I Prefer not to say

Not Known

Sexuality

What is your sexual orientation

Ace (Asexual, Greysexual, Demisexual)

Bisexual

Gay man

Heterosexual/Straight

Lesbian/Gay Women

Pansexual

Queer

I Prefer not to say

Not listed

Disability status

Do you identify as D/deaf and/or Disabled person, or have a long term health condition?

Yes

I prefer not to say

Not known

Neurodivergent

Do you consider yourself to be neurodivergent?

Yes

I prefer not to say

Not known

What type of school did you go to?

State school

Fee- paying school

I prefer not to say

Not known

Submit

Clear form

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