Rider Spoke Volunteer Testers - Blast Theory Monitoring Form 2020

Monitoring Form

We want to involve different voices and perspectives so we can make Blast Theory's work as inclusive as possible. By completing the simple form below you will help us to understand who we're reaching.

The form is 100% anonymous. You don't have to answer any questions you are not comfortable with and, where possible, we invite you to describe your own identity rather than tick a box.

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* 1. How do you describe your gender?

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* 2. Which of the following age groups do you belong to?

16 - 19

20 - 34

35 - 49

50 - 64

65+

Rather not say

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* 3. How do you describe your ethnicity?

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* 4. Do you identify as a deaf/disabled person, or someone with a long-term health condition?

Yes

Rather not say

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* 1. How do you describe your gender?

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* 2. Which of the following age groups do you belong to?

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* 3. How do you describe your ethnicity?

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* 4. Do you identify as a deaf/disabled person, or someone with a long-term health condition?

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* 5. Thinking back to when you were 14, what was the occupation of the main earner in your household?