Are you? Male Female Transgender 4. Age Are you? 16 24 25 34 35 44 – – – 45 54 55 64 65 + – – 5. Religion or Belief Are you? Anglican Catholic Presbyterian Other Christian Buddhist Hindu Jewish Muslim Sikh No belief Other Religion/Belief (please specify)___________________________________________ 6. Sexual Orientation Are you? Heterosexual Homosexual Bisexual Not Declared 7. Disability A disabled person under the Disability Discrimination Act 1995 is described as anyone with physical or mental “a impairment which has a substantial and long term adverse effect on his or her ability to carry out normal day-to-day activities”. This definition can be broken down to help explain the meaning of disability. Physical impairment Eg. visual impairment, paralysis, disease and progressive conditions,. Mental impairment Includes an impairment resulting from or consisting of a mental illness. Substantial The effect of the impairment on ability to carry out normal day to day activities. Long term Has, or is likely to last at least 12 months. Normal day to day activity Normal activity for most people and carried out on a regular Do you consider yourself to have a disability? Yes No If yes, please give details THANK YOU FOR COMPLETING THIS QUESTIONNAIRE
Are you? Male Female Transgender 4. Age Are you? 16 – 24 25 – 34 35 – 44 45 – 54 55 – 64 65 + 5. Religion or Belief Are you? Anglican Catholic Presbyterian Other Christian Buddhist Hindu Jewish Muslim Sikh No belief Other Religion/Belief (please specify)___________________________________________ 6. Sexual Orientation Are you? Heterosexual Homosexual Bisexual Not Declared 7. Disability A disabled person under the Disability Discrimination Act 1995 is described as anyone with “a physical or mental impairment which has a substantial and long term adverse effect on his or her ability to carry out normal day-to-day activities”. This definition can be broken down to help explain the meaning of disability. Physical impairment Mental impairment Substantial Long term Normal day to day activity Eg. visual impairment, paralysis, disease and progressive conditions,. Includes an impairment resulting from or consisting of a mental illness. The effect of the impairment on ability to carry out normal day to day activities. Has, or is likely to last at least 12 months. Normal activity for most people and carried out on a regular Do you consider yourself to have a disability? Yes No If yes, please give details THANK YOU FOR COMPLETING THIS QUESTIONNAIRE
Recruitment_Pack__fixed_hours.docx