Equality and Diversity Monitoring Form
Please help us monitor the effectiveness of our equality policy by completing this form. All questions are optional and responses are confidential.
How would you describe your gender identity?
Male
Female
In another way
Prefer not to say
What is your age?
Under 18
18–25
26–35
36–45
46–59
60 or over
Do you consider yourself to have a disability?
Yes
No
Prefer not to say
Do you have caring responsibilities?
Yes – children under 18
Yes – other
No
Prefer not to say
What is your sexual orientation?
Bisexual
Gay/Lesbian
Heterosexual/Straight
Prefer not to say
What is your religion or belief?
None
Church of Scotland
Roman Catholic
Other Christian
Muslim
Buddhist
Hindu
Jewish
Sikh
Pagan
Humanist
Other
Prefer not to say
What is your marital status or same-sex civil partnership status?
Single
Married
Divorced
Civil partnership
Dissolved civil partnership
Widowed
Separated
Prefer not to say
What is your ethnic group? Please select the option which best describes your ethnic group or background.
White – Scottish
White – other British
White – Irish
White – Eastern European
White – Gypsy/Traveller
White – other Ethnicity
African
Arab
Asian – Chinese
Asian – Indian
Asian – Pakistani
Asian – Bangladeshi
Asian – other
Black
Caribbean
Mixed Ethnic group
Other Ethnic group
Prefer not to say
Submit
Should be Empty: