ArtHouses Equality and Diversity Monitoring Form

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ArtHouses wants to collect this data to build an accurate picture of the make-up of the people we work with and the people who come to our events so that we are able to support and encourage diversity and equality in the arts.

Filling in this form is voluntary, but it would help us if you would. The information provided is anonymous, will be kept confidential and will only be used for monitoring purposes.

If you have any questions about this form contact arthouseswb@gmail.com

What age are you?

under 16

16-25

26-40

40-55

56-70

over 70

Clear selection

What is the first part of your postcode? This means we can see which area you live in.

How would you describe your ethnicity? Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong.

White British

White Irish

White European

White - Gypsy, Roma, Irish Traveller

Any other White background

Mixed or Multiple ethnic backgrounds

Mixed or Multiple ethnic backgrounds - White and Black Caribbean

Mixed or Multiple ethnic backgrounds -White and Black African

Mixed or Multiple ethnic backgrounds -- White and Asian

Any other Mixed / Multiple ethnic background,

Asian / Asian British

Asian / Asian British - Indian

Asian / Asian British - Pakistani

Asian / Asian British - Bangladeshi

Asian / Asian British - Chinese

Any other Asian background

Black / Black British

Black / Black British - African

Black / Black British - Caribbean

Any other Black / African / Caribbean background

Arab

Any other ethnic background

Prefer not to say

Other:

Clear selection

Do you identify as a disabled person or have long term health condition?

yes

prefer not to say

Clear selection

Do you consider yourself to be neurodivergent?

yes

prefer not to say

Clear selection

What gender do you most identify with?

woman

man

non-binary

prefer not to say

Other:

Clear selection

Please tick the description that best describes your sexual orientation?

heterosexual

gay man

gay woman / lesbian

bisexual

prefer not to say

Other:

Clear selection

Submit

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