Under section 75 all Public Authorities have to establish a monitoring system that will take into account Equality Categories. As funding for our programme has been provided by the Public Sector we are required to gather relevant Equality Information.

It would be helpful if you could take a few minutes to complete this monitoring information. We are aware of the sensitive nature of some of these questions but would like to assure you that all answers will be treated with the utmost confidentiality. Thank you for your time

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* 1. Gender

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* 2. Marital Status

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* 3. Carers

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* 4. Disability: Do you consider yourself to have a disability?

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* 5. Ethnic Origin

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* 6. Age

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* 7. Political Opinion

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* 8. Please indicate your nationality?

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