Diversity Monitoring

Please complete the following Diversity survey – data will be used for monitoring purposes only

Name

Department

Please complete the following Diversity form – data will be used for monitoring purposes only

What is your gender?

Female

Male

What age are you?

21-30

31-40

41-50

51 or over

What is your ethnic group?
Choose ONE section from A to E, then tick the appropriate box to indicate your cultural background.

A
White

British
Irish
White Other
Any other White background, please write in

B
Mixed

White and Black Caribbean
White and Black African
White and Asian
Mixed Other
Any other Mixed background, please write in

C
Asian or Asian British

Indian
Pakistani
Bangladeshi
Asian Other
Any other Asian background, please write in

D
Black or Black British

Caribbean
African
Black Other
Any other Black background, please write in

E
Chinese or other ethnic group

Chinese
Other
Any other, please write in

What is your religion or belief?

Buddhist

Christian

Hindu

Jewish

Muslim

Sikh

Other

None

Do you classify yourself as having a disability?

Yes

What is your sexual orientation?

Bisexual

Gay man

Gay woman

Heterosexual

Prefer not to answer

Diversity Monitoring

What is your gender?

What age are you?

What is your ethnic group? Choose ONE section from A to E, then tick the appropriate box to indicate your cultural background.

A White

B Mixed

C Asian or Asian British

D Black or Black British

E Chinese or other ethnic group