Age Group: Sexual Orientation: 14-15 16-17 Heterosexual/Straight Bisexual 18-24 25-34 Lesbian/Gay Prefer not to say 35-44 45-54 Prefer to self-describe: 55-64 65-70 Faith: 71-74 75+ Buddist Christian Prefer not to say Muslim Sikh Jewish Hindu Ethnic Group: No Religion Prefer not to say Asian Other: (please specify): Black Chinese Mixed/Multiple Nationality: What nationality do you consider yourself to be? Prefer not to say Other (please specify): Prefer not to say What is your immigration status? UK Resident Migrant Refugee Asylum Seeker Prefer not to say Other (please specify): Are you currently? Employed Full Time Employed Part Time Self-Employed – – Unemployed Student Retired (please specify): Do you speak Welsh? Fluent Learner A little No What is your preferred language? Welsh English Bilingual BSL Other (please specify):
Age Group: 14-15 16-17 18-24 25-34 35-44 45-54 55-64 65-70 71-74 75+ Prefer not to say Sexual Orientation: Heterosexual/Straight Bisexual Lesbian/Gay Prefer not to say Prefer to self-describe: Faith: Buddist Christian Muslim Sikh Jewish Hindu No Religion Prefer not to say Other: (please specify): Ethnic Group: Asian Black Chinese Mixed/Multiple Prefer not to say Other (please specify): Nationality: What nationality do you consider yourself to be? Prefer not to say What is your immigration status? UK Resident Migrant Refugee Asylum Seeker Prefer not to say Other (please specify): Are you currently? Employed – Full Time Employed – Part Time Self-Employed Unemployed Student Retired (please specify): Do you speak Welsh? Fluent Learner A little No What is your preferred language? Welsh English Bilingual BSL Other (please specify):
Youth-Forum-Registration-Form-2017.en.docx