Please tell us your age: Do you consider yourself to have a disability? No 2b. If yes do you have a: Physical impairment Sensory impairment Learning disability Mental health condition (long term) Other health condition (long term) Ethnicity White Asian or Asian British White British Bangladeshi White Irish Indian Any other White background Pakistani Any other Asian background Other ethnic group Chinese Black or Black British Any other ethnic group African Please state: ___________________________ Caribbean Rather not say Any other Black background Mixed White and Asian White and Black African White and Black Caribbean Any other mixed background 4b. Gender reassignment Gender Do you now, or have you ever considered yourself to be transgender? (tick if yes) Female Male Rather not say
Please tell us your age: Do you consider yourself to have a disability? No 2b. If yes do you have a: Physical impairment Sensory impairment Learning disability Mental health condition (long term) Other health condition (long term) Ethnicity Asian or Asian British Bangladeshi Indian Pakistani Any other Asian background Black or Black British African Caribbean Any other Black background Mixed White and Asian White and Black African White and Black Caribbean Any other mixed background White White British White Irish Any other White background Other ethnic group Chinese Any other ethnic group Please state: ___________________________ Rather not say Gender Female Male Rather not say 4b. Gender reassignment Do you now, or have you ever considered yourself to be transgender? (tick if yes)