Helping us to understand more about the patients and the community we serve and is committed to diversity and equal opportunities for all. Collecting this information enables us Guy’s ’ to have a better picture of any particular needs of our diverse patient community. This information is to help us monitor the effectiveness of our equality and diversity policies and to help comply with legal requirements. 1. Who is the main person answering the questions below? Patient □Carer/family □ □Other member Both patient and carer together 2. Have you ever visited the Podiatry department before? □Yes □ No 3. Are you? □Male □Female □ Prefer not to say 4. What age group are you? □Replying on behalf □18-24 □25-34 □35-44 □ 45-54 of a child under 16 □55-64 □65-74 □75-84 □ □Prefer 85+ not to say 5. What is your sexual orientation? □Bisexual □Gay □ man Gay woman/lesbian □Heterosexual/straight □Other □ Prefer not to say 6. What would you consider to be your ethnic background? □ □White □Any □Indian □Pakistani □Bangladeshi White British other Irish white background □Any □Black □Black □Any □Chinese □White other African other and Black Asian Black Caribbean background background □ □White □Any □Other □Prefer White and and other not to say Black African Asian mixed background 7. What is your religion? □ □ □Hindu □Jewish □Muslim Buddhist Christian □ □Other □ □ Sikh No religion Prefer not to say Thank you for your time! Data protection statement Thank you for taking the time to complete our survey. The information you have provided will be treated confidentially. The comments that we have received will not be attributed to any individuals. This information is also used by the Foundation Trust to help us monitor the effectiveness of our equality policies and to help comply with legal requirements.
Helping us to understand more about the patients and the community we serve Guy’s and ’ is committed to diversity and equal opportunities for all. Collecting this information enables us to have a better picture of any particular needs of our diverse patient community. This information is to help us monitor the effectiveness of our equality and diversity policies and to help comply with legal requirements. 1. Who is the main person answering the questions below? Patient □Carer/family member □ Both patient and carer together □Other 2. Have you ever visited the Podiatry department before? □Yes □ No 3. Are you? □Male □Female □ Prefer not to say 4. What age group are you? □Replying on behalf of a child under 16 □18-24 □25-34 □35-44 □ 45-54 □55-64 □65-74 □75-84 □ 85+ □Prefer not to say 5. What is your sexual orientation? □Bisexual □Gay man □ Gay woman/lesbian □Heterosexual/straight □Other □ Prefer not to say 6. What would you consider to be your ethnic background? □ White British □White Irish □Any other white background □Indian □Pakistani □Bangladeshi □Any other Asian background □Black □Black African □Any other Black background □Chinese □White and Black Caribbean □ White and Black African □White and Asian □Any other mixed background □Other □Prefer not to say 7. What is your religion? □ Buddhist □ Christian □Hindu □Jewish □Muslim □ Sikh □Other □ No religion □ Prefer not to say Thank you for your time! Data protection statement Thank you for taking the time to complete our survey. The information you have provided will be treated confidentially. The comments that we have received will not be attributed to any individuals. This information is also used by the Foundation Trust to help us monitor the effectiveness of our equality policies and to help comply with legal requirements.