Social or behavioural issues (e.g. neuro diverse conditions such as Autism, Attention Deficit Disorder or Asperger’s Syndrome) Other impairment Prefer not to say Carer responsibility Do you look after, or give any help or support to family members, friends, neighbours or others because of either: Long-term physical or mental ill-health / disability Problems related to old age Yes No Rather not say If you selected yes, please indicate your caring responsibility (select all that apply) Primary carer of a child/children (under 18) Primary carer of disabled child/children Primary carer of disabled adult (18 and over) Primary carer of older person (65+) Secondary carer Rather not say
Social or behavioural issues (e.g. neuro diverse conditions such as Autism, Attention Deficit Disorder or Asperger’s Syndrome) Other impairment Prefer not to say Carer responsibility Do you look after, or give any help or support to family members, friends, neighbours or others because of either: Long-term physical or mental ill-health / disability Problems related to old age Yes No Rather not say If you selected yes, please indicate your caring responsibility (select all that apply) Primary carer of a child/children (under 18) Primary carer of disabled child/children Primary carer of disabled adult (18 and over) Primary carer of older person (65+) Secondary carer Rather not say
PPV-Equal-Opportunity-Monitoring-Form.docx