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* 1. Which of the following options best describes how you think of your gender identity? (Tick one only)

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* 2. Marital Status:

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* 3. Which of the following age groups do you belong to? (Tick one only)

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* 4. Religion & Belief:

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* 5. Disability: The Equality Act (2010) defines disability as a ‘physical or mental impairment’ which ‘has a substantial and long-term adverse effect on a person’s ability to carry out normal day-to-day activities.’ An effect is long-term if it has lasted, or is likely to last 12 months or for the rest of the life of the person affected. Do you consider yourself to have a disability as defined under the Equality Act?

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* 6. Sexual Orientation:

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* 7. What is your ethnic group? (Tick one only)

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* 8. Do you live in the UK? (Tick one only)

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