Equal Opportunities Monitoring Form Survey

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* 1. Gender

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* 2. Marital Status

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* 3. Date of Birth

Please enter as DD/MM/YYYY

Date

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* 4. Nationality

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* 5. In which City/Town/Village do you live?

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* 6. How would you describe your ethnic origin? (Please select one)

White - British/English/Welsh/Scottish/Northern Irish

White - Irish

Other White background

Gypsy or Traveller

Black or Black British - Caribbean

Black or Black British – African

Other Black Background

Asian or Asian British – Indian

Asian or Asian British – Pakistani

Asian or Asian British – Bangladesh

Chinese

Other Asian background

Mixed – White and Black

Mixed – White and Black African

Mixed – White and Asian

Other Mixed background

Arab

Other Ethnic background

Prefer not to say

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* 7. Do you consider yourself to have a disability or disabilities? (Please select one)

No disability

I have a disability but it does not affect my day to day activities

I have a disability and it affects my day to day activities a little

I have a disability and it affects my day to day activities a lot

Prefer not to say

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* 8. What is your sexual orientation? (Please select one)

Bisexual

Gay man

Gay woman/lesbian

Heterosexual

Queer

Prefer not to say

Other

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* 9. What is your religion? (Please select one)

No religion

Buddhist

Christian

Hindu

Jewish

Muslim

Sikh

Spiritual

Any other religion or belief

Prefer not to say

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* 10. What was the occupation of the main/highest income earner in your household when you were aged 14?

Following a 12-month period of extensive research and consultation, Arts Council England are introducing this question to capture the socio-economic background of the workforce in the sector. This allows them to better understand access to the arts and culture and what barriers may be present. The research carried out can be found here:Measuring social mobility in the creative and cultural industries

MODERN PROFESSIONAL OCCUPATION (e.g. Teacher/lecturer, nurse, physiotherapist, social worker, welfare officer, actor, artist, musician, police officer (sergeant or above), software designer)

CLERICAL AND INTERMEDIATE OCCUPATION (e.g. secretary, personal assistant, clerical worker, office clerk, call centre agent, nursing auxiliary, nursery nurse)

SENIOR MANAGER / ADMINISTRATOR (usually responsible for planning, organising and co-ordinating work for finance such as finance manager, chief executive, etc.)

TECHNICAL AND CRAFT OCCUPATION (e.g. motor mechanic, fitter, inspector, plumber, printer, tool maker, electrician, gardener, train driver)

SEMI-ROUTINE MANUAL AND SERVICE (e.g. postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, receptionist, sales assistant)

ROUTINE MANUAL AND SERVICE (e.g. HGV driver, van driver, cleaner, porter, packer, sewing machinist, messenger, labourer, waiter/waitress, bar staff)

MIDDLE OR JUNIOR MANAGER (e.g. office manager, retail manager, bank manager, restaurant manager, warehouse manager, publican)

TRADITIONAL PROFESSIONAL OCCUPATION (e.g. solicitor, accountant, medical practitioner, scientist, civil/mechanical engineer)

SHORT TERM UNEMPLOYED (claimed Jobseeker's Allowance or earlier unemployment benefit for a year or less)

LONG TERM UNEMPLOYED (claimed Jobseeker's Allowance or earlier unemployment benefit for more than a year)

RETIRED

NOT APPLICABLE

DON'T KNOW

PREFER NOT TO SAY