Talawa Equal Opportunities Monitoring Form - Artists and Creatives for the period ending 31 March 2023

Talawa Equal Opportunities Monitoring Form - Artists and Creatives - period ending 31 March 2023

We use the information about you to demonstrate the impact and reach of our work to funders. This data is anonymised, so we will not share anything which identifies you personally.

Please take a moment to fill in the questions below.

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* 1. Please tell us your gender identity

Female

Male

Non-binary

Transgender

I prefer not to say

I prefer to self-identify (please specify)

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* 2. What is your ethnic origin
Please tick ONE appropriate box to indicate your ethnicity.

Black/Black British: African

Black/Black British: Caribbean

Black/Black British: Any other Black background

White and Black African

White and Black Caribbean

White and Asian

White British

White Irish

Gypsy, Roma or Irish Traveller

Indian

Pakistani

Bangladeshi

Chinese

Arab

Latin American

I prefer not to say

I prefer to self-identify (please specify)

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* 3. Do you consider yourself to be disabled?

Yes

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* 4. If yes, please tick the answer which applies/if there is more than one answer, please specify in the box below

Visual Impairment

Hearing impairment/Deaf

Physical disabilities

Cognitive or learning disabilities

Mental health condition

Neurodivergent condition (such as ADHD, Autism, Dyslexia and Dyspraxia)

Other long term/chronic conditions

Prefer not to say

Other (please specify)

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* 5. Please tell us your age:

0-19

20-34

35-49

50-64

65-74

75+

Not known/ Prefer not to say

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* 6. What is your sexual orientation?

Bisexual

Gay Man

Gay Woman/Lesbian

Heterosexual/Straight

Queer

Prefer not to say

I prefer to self-describe (please specify)

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* 7. What is your religion and belief?

Buddhist

Christian

Hindu

Jewish

Muslim

Sikh

Non-religious (atheist, humanist etc.)

Prefer not to say

Other (please specify)

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

Modern Professional Occupations

Clerical and Intermediate Occupations

Senior Managers and Administrators

Technical and Craft Occupations

Semi-Routine Manual and Service Occupations

Routine Manual and Service Occupations

Middle or Junior Managers

Traditional Professional Occupations

Short Term Unemployed

Long Term Unemployed

Retired

Not Applicable

Don’t know

Prefer not to say

Other (please specify)

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* 9. Do you have caring responsibilities? If yes, please tick the box which best applies.

None

Primary carer of a child/children (under 18)

Primary carer of a disabled child/children

Primary carer of a disabled adult (18 and over)

Primary carer of an older person

Secondary carer (another person carries out the main caring role)

Prefer not to say

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* 1. Please tell us your gender identity

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* 2. What is your ethnic originPlease tick ONE appropriate box to indicate your ethnicity.

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* 3. Do you consider yourself to be disabled?

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* 4. If yes, please tick the answer which applies/if there is more than one answer, please specify in the box below

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* 5. Please tell us your age:

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* 6. What is your sexual orientation?

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* 7. What is your religion and belief?

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* 8. Socioeconomic BackgroundWhat was the occupation of the main/highest income earner in your household when you were 14?

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* 9. Do you have caring responsibilities? If yes, please tick the box which best applies.

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* 10. Which Talawa Production or Project are you involved in?

* 2. What is your ethnic origin
Please tick ONE appropriate box to indicate your ethnicity.

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