Shape Arts Equality and Diversity Monitoring Form (2023-24) Survey

Question Title

* 2. Please indicate your age category

18-19

20-34

35-49

50-64

65+

Prefer not to say

Not known

Question Title

* 3. How would you describe your ethnicity?

Black / Black British - African

Black / Black British - Caribbean

Any other Black/African/Caribbean background

Asian / Asian British - Indian

Asian / Asian British - Pakistani

Asian / Asian British - Bangladeshi

Asian / Asian British - Chinese

Asian / Asian British - Any other Asian background

Mixed - White and Black Caribbean

Mixed - White and Black African

Mixed - White and Asian

Mixed - Any other Mixed ethnic background

White - White British

White - White Irish

White - Gypsy or Irish Traveller

White - Any other White background

Other - Arab

Other - Any other ethnic group

Other - Not known

Other - Prefer not to say

I identify in another way (please describe)

Question Title

* 4. Please indicate the disability related category that you feel best represents you.

Disabled Person

Person with long term health condition

Person with access requirements

Non disabled/no health conditions/no access requirements

Prefer not to say

Not known

I identify differently to any of the given categories (please describe)

Question Title

* 5. How would you describe your gender?

Female

Male

Non-binary

Prefer not to say

In another way (please describe)

Question Title

* 6. Is your gender identity different to that which it was assumed to be at birth?

Yes

Prefer not to say

Question Title

* 7. Please indicate the sexual orientation category that you feel best represents you.

Gay Man

Gay Woman/Lesbian

Heterosexual/Straight

Bisexual

Prefer not to say

I identify differently to any of the given categories (please describe)

Question Title

* 8. How would you describe your faith or religion?

I have no faith or religion

Prefer not to say

My faith or religion is (please describe)

Question Title

* 9. Where did you see this opportunity advertised?

Question Title

* 10. Please indicate the occupation of the main/highest income earner in your household when you were 14.

Modern Professional Occupations - include teacher, nurse, physiotherapist, social worker, musician, police officer (sergeant or above), software designer.

Clerical and Intermediate Occupations - include secretary, personal assistant, clerical worker, call centre agent, nursery nurse.

Senior Managers and Administrators - are usually responsible for planning, organising and co-ordinating work, and for finance, and include finance manager, chief executive.

Technical and Craft Occupations - include motor mechanic, plumber, printer, electrician, gardener, train driver.

Semi-Routine Manual and Service Occupations - include postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, sales assistant.

Routine Manual and Service Occupations - include HGV driver, cleaner, porter, packer, labourer, waiter/waitress, bar staff.

Middle or Junior Managers - include office manager, retail manager, bank manager, restaurant manager, warehouse manager.

Traditional Professional Occupations - include accountant, solicitor, medical practitioner, scientist, civil / mechanical engineer.

Short Term Unemployed - they claimed unemployment benefit for under a year.

Long Term Unemployed - they claimed unemployment benefit for more than a year.

Retired

Not applicable

Prefer not to say

Not known

Other (please specify)

Question Title

* 11. Have you experienced barriers as a result of being working class?

Yes

Prefer not to say

Not known

Question Title

* 12. Are you currently precariously employed and/or on a zero hours contract?

Yes

Prefer not to say

Not known

Question Title

* 13. Have you experienced homelessness?

Yes

Prefer not to say

Not known

Question Title

* 14. Have you experienced the criminal justice system?

Yes

Prefer not to say

Not known

Question Title

* 15. Are you or have you at any point been a refugee or asylum seeker?

Yes

Prefer not to say

Not known

Question Title

* 16. Have you experienced barriers because of your country of origin?

Yes

Prefer not to say

Not known

Question Title

* 17. If you feel you have experienced other barriers not covered by the above, on which you feel we might be able to ask for data, please tell us here. This will help us refine this process and improve both our reporting and our actions

Shape Arts Equality and Diversity Monitoring Form (2023-24)

Question Title

* 1. Name/ description of opportunity or event

Question Title

* 2. Please indicate your age category

Question Title

* 3. How would you describe your ethnicity?

Question Title

* 4. Please indicate the disability related category that you feel best represents you.

Question Title

* 5. How would you describe your gender?

Question Title

* 6. Is your gender identity different to that which it was assumed to be at birth?

Question Title

* 7. Please indicate the sexual orientation category that you feel best represents you.

Question Title

* 8. How would you describe your faith or religion?

Question Title

* 9. Where did you see this opportunity advertised?

Question Title

* 10. Please indicate the occupation of the main/highest income earner in your household when you were 14.

Question Title

* 11. Have you experienced barriers as a result of being working class?

Question Title

* 12. Are you currently precariously employed and/or on a zero hours contract?

Question Title

* 13. Have you experienced homelessness?

Question Title

* 14. Have you experienced the criminal justice system?

Question Title

* 15. Are you or have you at any point been a refugee or asylum seeker?

Question Title

* 16. Have you experienced barriers because of your country of origin?

Question Title

* 17. If you feel you have experienced other barriers not covered by the above, on which you feel we might be able to ask for data, please tell us here. This will help us refine this process and improve both our reporting and our actions