[ ] 36-40 [ ] 51-55 [ ] 41-45 [ ] 56+ [ ] 46-50 7. Ethnic origin (please tick one box only) White [ ] British [ ] White and Black Caribbean [ ] Irish [ ] and Black African [ ] Any other White background [ ] White and Asian (please specify) [ ] Any other mixed background Black or Black British (please specify) [ ] Caribbean Asian or Asian British [ ] African [ ] Indian [ ] Any other Black background [ ] Pakistani (please specify) [ ] Bangladeshi Chinese [ ] Any Asian background [ ] Chinese (please specify) Other ethnic group [ ] Any other [ ] Decline to specify Thank you
[ ] 36-40 [ ] 41-45 [ ] 46-50 [ ] 51-55 [ ] 56+ 7. Ethnic origin (please tick one box only) White [ ] British [ ] Irish [ ] Any other White background (please specify) Black or Black British [ ] Caribbean [ ] African [ ] Any other Black background (please specify) Chinese [ ] Chinese Other ethnic group [ ] Any other [ ] Decline to specify [ ] White and Black Caribbean [ ] and Black African [ ] White and Asian [ ] Any other mixed background (please specify) Asian or Asian British [ ] Indian [ ] Pakistani [ ] Bangladeshi [ ] Any Asian background (please specify) Thank you