We would like to know a little more about you. The following questions will help us understand who has joined our network and help to ensure we are engaging with a wide section of the community. It also helps us make sure that the surveys that we send you are relevant and useful.
What is your ethnic group? Click to drop down... White: English/Welsh/Scottish/Northern Irish/British White: Irish White: Gypsy or Irish Traveller White: Any other White background (please specify below) Mixed/Multiple ethnic groups: White and Black Caribbean Mixed/Multiple ethnic groups: White and Black African Mixed/Multiple ethnic groups: White and Asian Mixed/Multiple ethnic groups: Any other Mixed/Multiple ethnic background (please specify below) Asian/Asian British: Indian Asian/Asian British: Pakistani Asian/Asian British: Bangladeshi Asian/Asian British: Chinese Asian/Asian British: Any other Asian background (please specify below) Black/African/Caribbean/Black British: African Black/African/Caribbean/Black British: Caribbean Black/African/Caribbean/Black British: Any other Black/African/Caribbean background (please specify below) Arab Any other ethnic group (please specify below) Prefer not to say
What is your religion? Click to drop down... No religion Christian (including Church of England, Catholic, Protestant and all other Christian denominations) Buddhist Hindu Jewish Muslim Sikh Any other religion (please specify) Prefer not to say
Do you consider yourself to have a disability? (The Equality Act 2010 states a person has a disability if they have a physical or mental impairment which has a long-term (12 month period or longer) or substantial adverse effects on their ability to carry out day-to-day activities). Click to drop down... Physical disability (please describe) Sensory disability e.g. Deaf, hard of hearing, Blind, visually impaired (please describe) Mental health condition Learning disability or difficulty Long-term illness (please describe) Prefer not to say Yes, other
