□ Prefer not to say Any other mixed background, please write here: Asian/Asian Britis □ □ □ □ □ Ind ia n Pa kist ani Bang la d eshi Chinese Prefer not to sa y Any other Asian background, please write: Black/ African/ Caribbean/ Black British □ □ □ African Carib bea n Prefer not to say Any other Black/African/Caribbean background, please write here: Other ethnic group □ □ Ara b Prefer not to sa y Any other ethnic group, please write here: Do you consider yourself to have a disability or health condition? No disability □ □ Visual impairment □ □ Hearing impairment/Deaf Physical disabilities Cognitive or learning □ □ disabilities Mental health □ Invisible disabilities What is the effect or impact of your disability or health condition on your ability to give your best at work? Please write here: "The information in this form is for monitoring purposes only. What is your sexual orientation? □ □ □ □ Heterosexual Gay wo man/ lesbia n Gay ma n Bisexual □ Prefer not to say If other, please write here:
Prefer not to say □ Any other mixed background, please write here: Asian/Asian Britis Ind ia n □ Pa kist ani □ Bang la d eshi □ Chinese □ Prefer not to sa y □ Any other Asian background, please write: Black/ African/ Caribbean/ Black British African □ Carib bea n □ Prefer not to say □ Any other Black/African/Caribbean background, please write here: Other ethnic group Ara b □ Prefer not to sa y □ Any other ethnic group, please write here: Do you consider yourself to have a disability or health condition? No disability □ Visual impairment □ Hearing impairment/Deaf □ Physical disabilities □ Cognitive or learning disabilities □ Mental health □ Invisible disabilities □ What is the effect or impact of your disability or health condition on your ability to give your best at work? Please write here: "The information in this form is for monitoring purposes only. What is your sexual orientation? Heterosexual □ Gay wo man/ lesbia n □ Gay ma n □ Bisexual □ Prefer not to say □ If other, please write here:
FINAL-Equal-Opps-form.docx