Trustee Recruitment Equality and Diversity Monitoring Form 2025

Equality and Diversity Monitoring Form
Thank you for taking the time to complete this survey. It should take no more than a few minutes to complete.

Your responses help us evaluate the experience, accessibility, impact and quality of our programming and give us valuable insight into our audiences.

The questions are designed to align with census data, to enable us to compare our audience profile to the general population. We're requesting this information to evaluate the effectiveness of our work to boost audience diversity and inclusivity. If you would rather not answer any of these questions please choose 'prefer not to say' or skip to the next.

All responses to this survey will remain anonymous.
1. Which of the following best describes you?

Prefer not to sayFemaleNon-BinaryMaleIn another way (you're welcome to specify below)Other
2. What age are you?

Prefer not to say16-2425-3435-4445-5455-6465+
3. What is your sexual orientation?

Prefer not to sayBisexualHeterosexual / StraightGay / LesbianPrefer to self describe (you're welcome to specify below)Other
4. Do you consider yourself to have a disability? The Equality Act 2010 defines a disability as a 'physical or mental impairment with long-term substantial adverse effects on a person's ability to perform day-to-day activities'.

Prefer not to sayNoYes - Visual ImpairmentYes - Hearing Impairment / DeafYes - Physical DisabilitiesYes - Cognitive or Learning DisabilitiesYes - Mental Health ConditionYes - Other Long-Term / Chronic ConditionYes - in another way (you're welcome to specify below)Other
5. Do you have any religious beliefs?

Prefer not to sayNo religionBuddhistChristianHinduJewishMuslimSikhOther
6. Do you consider yourself coming from a disadvantaged background?

Prefer not to sayYesNo
7. Which of the following best describes your ethnicity / background?

Prefer not to sayAfrican / African Welsh / African BritishArab / Arab Welsh / Arab BritishAsian / Asian Welsh/ Asian British: IndianAsian / Asian Welsh / Asian British: PakistaniAsian / Asian Welsh / Asian British: BangladeshiAsian / Asian Welsh / Asian British: ChineseAny other Asian background (please specify below)Black / Black Welsh / Black BritishCaribbean / Caribbean Welsh / Caribbean BritishGypsy / TravellerMixed / Multiple ethnic groups (please specify below)White Welsh / White BritishAny other White background (please specify below)Prefer to self-describe (please specify below)Other
8. Are you Welsh speaking?

Prefer not to sayYes - fluent / first languageYes - learnerNo
9. Do you have any caring responsibilities?

Prefer not to sayYesNo
10. Is there anything else that has presented barriers to you pursuing opportunities that you would like to share? i.e. childcare, pregnancy, lack of money, any form of discrimination.
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