What is your gender? Female Male ☐ ☐ Gender identity Is your gender identity the same as the gender you were assigned at birth? If you identify as transgender or transsexual, please select ‘No’. Yes No Prefer not to say ☐ ☐ ☐ Do you consider your sexual orientation to be: ☐ ☐ ☐ Bisexual Gay woman/ lesbian Other ☐ Gay man ☐ Heterosexual/ straight ☐ Prefer not to say What is your religion/belief? ☐ Buddhist ☐ Christian ☐ Hindu ☐ Jewish ☐ Muslim ☐ Sikh ☐ Prefer not to say ☐ ☐ No religion Please specify any other religion or belief: What is your ethnicity? Asian or Asian British Irish ☐ Bangladeshi Gypsy or Irish Other ☐ ☐ Pakistani Traveller Arab ☐ ☐ Indian Any other White Any other ethnicity ☐ ☐ ☐ Chinese background Prefer not to say ☐ ☐ Any other Asian Dual background ☐ background Black or Black British White & Black ☐ African Caribbean ☐ Caribbean White & Black African ☐ ☐ White Any Black White & Asian ☐ ☐ English/ background ☐ Any other dual ☐ Welsh/Scottish/ background Northern Irish/British Do you have dependent children aged 18 or under? Yes No Prefer not to say ☐ ☐ ☐
What is your gender? ☐ Female ☐ Male Gender identity Is your gender identity the same as the gender you were assigned at birth? If you identify as transgender or transsexual, please select ‘No’. ☐ Yes ☐ No ☐ Prefer not to say Do you consider your sexual orientation to be: ☐ Bisexual ☐ Gay man ☐ Gay woman/ lesbian ☐ Heterosexual/ straight ☐ Other ☐ Prefer not to say What is your religion/belief? ☐ Buddhist ☐ Jewish ☐ Prefer not to say ☐ Christian ☐ Muslim ☐ ☐ Hindu ☐ Sikh ☐ No religion Please specify any other religion or belief: What is your ethnicity? Asian or Asian British ☐ Bangladeshi ☐ Pakistani ☐ Indian ☐ Chinese ☐ Any other Asian background White ☐ English/ Welsh/Scottish/ Northern Irish/British ☐ Irish ☐ Gypsy or Irish Traveller ☐ Any other White background Black or Black British ☐ African ☐ Caribbean ☐ Any Black background Other ☐ Arab ☐ Any other ethnicity ☐ Prefer not to say Dual background ☐ White & Black Caribbean ☐ White & Black African ☐ White & Asian ☐ Any other dual background Do you have dependent children aged 18 or under? ☐ Yes ☐ No ☐ Prefer not to say