Your Age
16-24yrs
25-35yrs
36yrs +
Gender
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Is this the gender you were assigned at birth?
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Relationship Status
Single
Married
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Civil Partnership
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Divorced
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Pregnancy
Currently Pregnant
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Sexual Orientation
Hetrosexual (towards people of the opposite sex)
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Other
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Religion and Belief
Christian
Jewish
Buddhist
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Hindu
Sihk
Other Religion or Belief
No Religion or Belief
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Do you consider yourself to be a Disabled Person under the Equality Act 2010?
Yes
No
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Ethnic Origin
Please tick the box that you feel best describes your ethnic origin
White
White British
White Irish
White Welsh
White Scottish
White English
Traveller of Irish Origin
Gypsy / Roma
Other White Background
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Mixed
Mixed White and Black Caribbean
White and Black African
White and Asian
Other Mixed Background
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Asian / Asian British
Indian
Pakistani
Bangladeshi
Other Asian Background
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Black / Black British
Caribbean
African
Other Black Background
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Chinese, Other Ethnic Group or Do not wish to answer
Chinese
Any Other Ethnic Group
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Please verify that you are human
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