Hospital Rooms Equal Opportunities Monitoring Form | September 2025

  • Hospital Rooms Equal Opportunities Monitoring Form

  • Policy

    Our vision is for Hospital Rooms to be a successful, caring and welcoming place for our staff and the communities we serve. We are committed to a culture where respect and understanding is fostered and the diversity of people’s backgrounds and circumstances are positively valued. You can read our Equality & Diversity policy here. 

    Monitoring

    This Equal Opportunities Monitoring Form helps to keep us accountable to this vision, helping us to continually improve our recruitment practices, to understand the composition of our existing and prospective workforce, and to redress areas of under-representation. Hospital Rooms needs your help and co-operation to do this but filling in this form is voluntary. Please note that responses are anonymous and any information you share in this survey will not impact on any decisions made about your individual appointment or progression.

    In accordance with data protection principles, we take care to ensure that all applicant data is appropriately and securely stored and handled. This form will be kept separate from the selection process and will be deleted six months after the closing date for the role you have applied for.

    If you have any questions about this form, you can contact our team on info@hospital-rooms.com. 

  • Socio-economic background

    These questions relate to your socio-economic background, including your schooling and professional family history.
  • Which type of school did you attend for the most time between the ages of 11 -16?
  • If you finished school after 1980, were you eligible for Free School Meals at any point during your school years? Free School Meals are a statutory benefit available to school-aged children from families who receive other qualifying benefits and who have been through the relevant registration process. It does not include those who receive meals at school through other means (e.g. boarding school).
  • What is the highest level of qualification achieved by either of your parent(s) or guardian(s) by the time you were 18?
  • Please tell us about the occupation of your main household earner when you were aged 14. If this question does not apply to you (because, for example, you were in care at this time), you can indicate this below.

  • Ethnicity

    The following categories have been devised by the UK governments Census of population and are recommended by the Equality and Human Rights Commission. Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong.
  • White

  • Mixed/Multiple ethnic groups

  • Asian/Asian British

  • Black/African/Caribbean/Black British

  • Additional monitoring questions.

    These questions relate to your gender, gender identity, age, sexual orientation, belief, Disability Status and caring responsibilities.
  • Gender
  • Is your gender the same as the gender you were assigned at birth?
  • Age
  • What is your sexual orientation?

  • What is your religion or belief?

  • Do you have a disability or long term health condition?
  • Please select all that apply.
  • If you have a neurodevelopment condition, please select all that apply.
  • Do you have any caring responsibilities?
  • If you have caring responsibilities, please select all that apply.
  • Should be Empty: