Cricket Scotland - Equality Monitoring Form Question Title * 1. Please tick to confirm your consent for us to collect your personal data in line with the Data Protection Act 1998 I consent to the collection of my personal data in line with the Data Protection Act 1998 for the strict use of anonymous equality profiling of cricket membership OK Question Title * 2. Your Role Coach Official Member or Player/Participant Volunteer I would prefer not to answer this question OK Question Title * 3. AgePlease indicate your age by ticking one of the boxes below: 16-24 24-34 35-44 45-54 55-64 65-74 75+ I would prefer not to answer this question OK Question Title * 4. Caring ResponsibilityAre you the primary caregiver to a child or children, or other dependents including disabled, elderly or sick adults? Yes No I would prefer not to answer this question OK Question Title * 5. Disability The Equality Act 2010 defines disability as:"A person has a disability if s/he has a physical or mental impairment which has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities."Please indicate whether you consider yourself to be disabled and/or the nature of your disability below: I do not consider myself to be disabled Deafness or partial hearing loss Blindness or partial sight loss Learning disability Learning difficulty Developmental disorder Physical disability Mental health condition Long term illness, disease or condition Other condition I would prefer not to answer this question OK Question Title * 6. Ethnic GroupPlease indicate your ethnic group by ticking one of the boxes below: White - Scottish White - Other British White - Irish White - Gypsy Traveller White - Polish Asian - Pakistani, Pakistani Scottish or Pakistani British Asian - Indian, Indian Scottish or Indian British Asian - Bangladeshi, Bangladeshi Scottish or Bangladeshi British Asian - Chinese, Chinese Scottish or Chinese British African - African, African Scottish or African British Caribbean or Black - Caribbean, Caribbean Scottish or Caribbean British Caribbean or Black - Black, Black Scottish or Black British Arab - Arab, Arab Scottish or Arab British Other I would prefer not to answer this question OK Question Title * 7. Religion or BeliefWhat religion, religious denomination or body do you belong to? None Church of Scotland Roman Catholic Other Christian Muslim Buddhist Sikh Jewish Hindu Other I would prefer not to answer this question OK Question Title * 8. Sex and Gender IdentityPlease indicate your sex by ticking one of the boxes below: Male Female Non-binary I would prefer not to answer this question OK Question Title * 9. Have you ever identified as transgender? Yes No I would prefer not to answer this question OK Question Title * 10. Sexual OrientationPlease indicate which of the following best describes how you think about yourself by ticking one of the boxes below: Gay Man Bi-sexual Gay Woman/Lesbian Heterosexual/Straight Other I would prefer not to answer this question OK DONE