Revitalise and Equal Opportunities

Revitalise and Equal Opportunities

• Your ethnic origin
  Asian, Asian British, Asian English, Asian Scottish, or Asian WelshArabBlack, Black British, Black English, Black Scottish, or Black WelshMixedWhiteOther ethnic groupPrefer not to say
  These categories are based on the Census 2011 categories and recommended by the Commission for Racial Equality.
• Asian, Asian British, Asian English, Asian Scottish, or Asian Welsh
  Asian / Asian BritishBangladeshiChineseIndianPakistaniOther Asian background
• Asian background (specify if you wish)
• Black, Black British, Black English, Black Scottish, or Black Welsh
  AfricanCaribbeanOther Black background
• Black background (specify if you wish):
• White
  BritishEnglishGypsy or Irish TravellerIrishScottishWelshOther White background
• White background (specify if you wish):
• Mixed
  White and AsianWhite and Black AfricanWhite and Black CaribbeanWhite and ChineseOther mixed background
• Mixed background (specify if you wish):
• Other ethnic group (specify if you wish):
• Your gender
  WomanManNon-binaryTransgenderIntersexTwo SpiritGender non-conformingOther
• Your gender (specify if you wish):
• Your age
  16 - 2425 - 3435 - 4445 - 5455 - 6465+Prefer not to say
• Your sexual orientation
  AsexualBisexualGayLesbianPansexualQueerQuestioning or unsureStraight (heterosexual)Other
• Your sexual orientation (specify if you wish):
• Marriage and civil partnership
  SingleMarried/in a registered civil partnershipSeparated, but still legally married/in a registered civil partnershipDivorced/formerly in a civil partnership which is now legally dissolvedWidowed/Surviving partner from a civil partnershipPrefer not to say
• Your religion or belief
  No religionBuddhistChristian (including Church of England, Catholic, Protestant and all other Christian denominations)HinduJewishMuslimSikhPrefer not to sayOther
• Your religion or belief (specify if you wish):
• Do you consider yourself to be disabled?
  YesNoPrefer not to say
  The Equality Act 2010 defines a disabled person as someone who has a physical or mental impairment which has a substantial and long-term adverse affect on their ability to carry out normal day-to-day activities.
• Please specify