someone who depends on you for Child help to deal with Parent difficulties or Partner / Husband / Wife emergencies? Other - please state: I prefer not to answer this question 8. If data incorrect or not held please tick one box Sexual Orientation Heterosexual / Straight Gay / Lesbian Which of the following Bisexual best describes how Other - Please specify you think of yourself? I prefer not to answer this question 9. Please complete Do you consider yourself to Yes be disabled? No I prefer not to answer this question If yes, do you wish HR to Yes contact you about any No reasonable adjustments you may need made at work? Tick all that apply: Do you have any of the following conditions which Deafness or partial hearing loss have lasted, or are expected Blindness or partial sight loss to last, at least 12 months? Learning disability (for example, Down’s Syndrome) Learning difficulty (for example, dyslexia) Developmental disorder (for example, Autistic Spectrum Disorder or Syndrome) Asperger’s Physical disability Mental health condition Long term illness, disease or condition Other condition - Please specify
someone who depends on you for help to deal with difficulties or emergencies? Child Parent Partner / Husband / Wife Other - please state: I prefer not to answer this question 8. If data incorrect or not held please tick one box Sexual Orientation Which of the following best describes how you think of yourself? Heterosexual / Straight Gay / Lesbian Bisexual Other - Please specify I prefer not to answer this question 9. Please complete Do you consider yourself to be disabled? Yes No I prefer not to answer this question If yes, do you wish HR to contact you about any reasonable adjustments you may need made at work? Yes No Do you have any of the following conditions which have lasted, or are expected to last, at least 12 months? Tick all that apply: Deafness or partial hearing loss Blindness or partial sight loss Learning disability (for example, Down’s Syndrome) Learning difficulty (for example, dyslexia) Developmental disorder (for example, Autistic Spectrum Disorder or Asperger’s Syndrome) Physical disability Mental health condition Long term illness, disease or condition Other condition - Please specify