Equal Opportunities Monitoring Form - Next Stage Survey 2023
We want to capture some information about you so we can understand whether we are reaching and representing a diverse representation of the UK.
The information you provide is anonymous and will not be linked to any other personal information we hold on you without your consent.
You can read a copy of our privacy policy by visiting
http://www.attitudeiseverything.org.uk/about-us/digital-privacy-policy
What is your age?
Under 16
16 - 19
20 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
50 - 54
55 - 59
60 - 64
65 - 69
70 - 74
75 - 79
80 - 84
85 +
I would prefer not to say
What is your gender?
Female
Male
Non-Binary/Other
I would prefer not to answer this question
Is your gender identity the same as that which you were assumed to be at birth?
Yes
No
I would prefer not to answer this question
Do you consider yourself to have a disability?
Yes
No
I would prefer not to answer this question
Do you consider yourself to be neurodivergent?
Yes
No
I would prefer not to answer this question
How would you describe your ethnicity?
Please select...
Arab
Bangladeshi
Black African
Black Caribbean
Chinese
Gypsy or Irish Traveller
Indian
Latin American
Not known
Pakistani
Prefer not to say
White & Asian
White & Black African
White & Black Caribbean
White British
White Irish
Any other Asian background
Any other Black background
Any other Mixed background
Any other ethnic group
Any other White background
How would you describe your sexuality?
Bisexual
Gay Man
Gay Woman / Lesbian
Heterosexual / Straight
Queer
I don't feel any of these describe me
I would prefer not to answer this question
Do you consider yourself to be part of the LGBTQIA+ Community?
Yes
No
That's not a straightforward question for me
I would prefer not to answer this question
What was the occupation of the main/highest earner in your household when you were 14?
Modern Professional Occupations E.g. Teacher/lecturer, nurse, physiotherapist, social worker, welfare officer, actor, artist, musician, police officer (sergeant or above), software designer
Clerical and Intermediate Occupations E.g. secretary, personal assistant, clerical worker, office clerk, call centre agent, nursing auxiliary, nursery nurse
Senior Managers and Administrators Usually responsible for planning, organising and co-ordinating work for finance such as finance manages, chief executive etc
Technical and Craft Occupations E.g. motor mechanic, fitter, inspector, plumber, printer, tool maker, electrician, gardener, train driver
Semi-Routine Manual and Service Occupations E.g. postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, receptionist, sales assistant
Routine Manual and Service Occupations E.g. HGV driver, van driver, cleaner, porter, packer, sewing machinist, messenger, labourer, waiter/waitress, bar staff
Middle or Junior Managers E.g. office manager, retail manager, bank manager, restaurant manager, warehouse manager, publican
Traditional Professional Occupations E.g. solicitor, accountant, medical practitioner, scientist, civil/mechanical engineer
Short Term Unemployed Claimed Jobseeker’s Allowance or earlier unemployment benefit for a year or less
Long Term Unemployed Claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year
Retired
Don’t know
Prefer not to say
N/A - Was part of the Care System
Linking this information to your record
We would like to ask your consent to link the details you have provided in this form to your existing record on our system.
This is completely optional and you will not be disadvantaged in any way if you say no. However consenting to us linking this information, will enable us to better understand the impact of our network as well as meaning that we can contact you about any opportunities we know of that are specifically targeted at particular social demographics.
You can read a copy of our privacy policy by visiting
http://www.attitudeiseverything.org.uk/about-us/digital-privacy-policy
Are you happy for Attitude is Everything to link the information you have provided on this form to your record on our system?
Yes - that is fine
No - please keep this information anonymous.
Your details
First Name
Surname
Email address
Thank you for your time today.
Contact Information