Equal Opportunities Monitoring Form

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This survey should take 3 minutes and your information will be kept anonymous. If you have any additional access requirements in order to complete this survey, please get in touch with the Wildscreen team at hello@wildscreen.org

Please let us know below whether or not you consent to the information provided being used in reporting for the ScreenSkills and Wildscreen Emerging Talent Mentorship Scheme

Confirm consentNo consent given

ANONYMOUS EQUALITY DIVERSITY AND INCLUSION (ED & I) MONITORING FORM

Note to survey participants: to help us protect your confidentiality, do not include your name, initials, email address in any of the answers.

Gender Identity

What is your gender?

FemaleMale

Identify as transgender or transsexual

Prefer to self describeOther, or if you have answered ‘prefer to self describe’ please specify below:

Gender Identity: Is your gender identity the same as at birth?

Sexual Orientation

Disabilities & Long-Term Conditions

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'.

YesNoPrefer not to say

If you finished school after 1980, were you eligible for free school meals at any point during your school years?

Did either of your parents attend university and gain a degree (e.g. BA/BSc or equivalent) by the time you were 18?

No, neither of my parents attended university Yes, one or both of my parents attended universityDo not know/not surePrefer not to say