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Help us achieve equality and fairness in what we do

Dear Applicant,

The questions in this survey are a little personal, but they are really useful to us. The data collected will support us with fundraising and, most importantly, help us ensure equality and fairness within our activities.

There are 13 questions and the survey takes around 2 minutes to complete. Please support us by completing the survey.

If there are any questions that you’d rather not answer, please select “Prefer not to say” or skip the question.

Anything you tell us is anonymous and confidential. The information you supply WILL NOT be made available to anyone in any form other than anonymous data and is detached from the application form and not considered as part of any application. The collective data will only be used to inform Coventry Artspace research and progress towards equality related targets, which may be published or shared with our cultural partners.

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* 1. Please tell us if you have previously or currently engaged with Coventry Artspace (Tick all that apply)

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* 2. Please tell us which opportunity you are applying for

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* 3. Please tell us how you heard about this opportunity

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* 4. Which of the following options best describes how you think about your gender (Tick one only)

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* 5. Is your gender identity different to the sex you were assumed to be at birth?

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* 6. How would you describe your sexual orientation

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* 8. Do you identify as a D/deaf or disabled person or have a long-term health condition (Tick one only) Note: Classification of Disability
An internationally recognised definition of disability is:
“People with physical, mental or sensory disabilities: with hidden disabilities such as psoriasis, epilepsy, heart, chest conditions: people with disabilities linked to ageing: people suffering from a mental illness.”

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* 9. Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months? (Tick one only)

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* 10. Do you currently experience economic hardship due to being on a low income, benefits or Universal Credit?

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* 12. Where do you live ? (Tick one only)

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