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EQUAL OPPORTUNITIES MONITORING

Ethnic Category

The following categories are based on those used in the 2001 census as recommended by the CRE. Please note the ethnic questions are not about nationality, place or birth or citizenship. UK citizens can belong to any of the ethnic categories indicated.

Please select below which best describes the ethnic category to which you belong:


White British Irish Other




Mixed
White and Black Carribean White and Black African
White and Asian Mixed other




Asian or Asian British Indian Pakistani Bangladeshi Asian other




Black or Black British Black Caribbean Black African Black other




Chinese Chinese Chinese other




Other Other Prefer Not to Say
Gender

Male Female Prefer Not to Say
Disability

Yes No Prefer Not to Say


Chest Breathing Problems
Diabetes
Hearing Impairment
Visual Impairment
Epilepsy
Heart/Blood Pressure
Learning Difficulties
Mental Health
Mobility/Dexterity
Neurological
Other Impairment
Impairment of Arms/Hands
Impairment of Legs/Feet
Neck/Back Impairment
Progressive Illness not covered
Respiratory/Heart
Skin Conditions/Allergies
Speech Impediment
Stomach/Liver/Kidney/Digestion
Not known
Age

<21 22-35 36-45 45-55 55+

Prefer Not to Say
Religion

Prefer Not to Say
Sexual Orientation

Prefer Not to Say