Place Standard - How Good is Our Place?

Equal Opportunities questionnaire

Please complete the following equal opportunities questions, before moving on to the full Place Standard Tool website.

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* 1. Please enter your Postcode

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* 2. Please enter your town

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* 3. Gender

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* 4. Age

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* 5. What is your sexual orientation?

If you prefer to use your own term, please specify here:

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* 6. Which one of these best describes your ethnic group?

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* 7. What is your religion or belief?

If other religion or belief, please specify here:

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* 8. Do you consider yourself to be disabled or have any additional support requirements/health issues?

If you wish, please give details:

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* 9. Do you have caring responsibilities? If yes, please tick all that apply.