White Irish White European Other white Mixed white and black Caribbean Mixed white and black African Mixed white and Asian Other mixed background Asian or Asian British: Indian Asian or Asian British: Pakistani Asian or Asian British: Bangladeshi Asian or Asian British: Chinese Other Asian or Asian British Background Black or Black British: Caribbean Black or Black British: African Other Black or Black British background Arabic Prefer not to say Other Please specify ___________________________________________ 12) Do you consider yourself to have a disability? No Yes Prefer not to say 13) Please specify Mobility Visual impairment Hearing impairment Mental Health Learning disability Prefer not to say Other (Please specify)___________________________________________
White Irish White European Other white Mixed white and black Caribbean Mixed white and black African Mixed white and Asian Other mixed background Asian or Asian British: Indian Asian or Asian British: Pakistani Asian or Asian British: Bangladeshi Asian or Asian British: Chinese Other Asian or Asian British Background Black or Black British: Caribbean Black or Black British: African Other Black or Black British background Arabic Prefer not to say Other Please specify ___________________________________________ 12) Do you consider yourself to have a disability? No Yes Prefer not to say 13) Please specify Mobility Visual impairment Hearing impairment Mental Health Learning disability Prefer not to say Other (Please specify)___________________________________________
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