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When encouraging people to complete the questionnaire it’s important to communicate:

  • Why you are asking for this information
  • What you will do with the information
  • Who is going to receive the information and how/will it be shared
  • That you can guarantee privacy in line with Data Protection

Sample questions

Which option best describes your ethnicity?

  • White - British, English, Northern Irish, Scottish, Welsh
  • White - Irish
  • White - Gypsy, Roma or Irish Traveller
  • White - European
  • White - Any other White background
  • Mixed / Dual heritage - White & Black Caribbean
  • Mixed / Dual heritage - White & Black African
  • Mixed / Dual heritage - White & Asian
  • Mixed / Dual heritage - Any other Mixed/ Dual heritage background
  • Asian / Asian British - Indian
  • Asian / Asian British - Pakistani
  • Asian / Asian British - Bangladeshi
  • Asian / Asian British - Chinese
  • Asian / Asian British - Other Asian Background
  • Arab
  • Mixed / Dual heritage Arab & white
  • Black / African - African
  • Black - British
  • Black / Caribbean - Caribbean
  • Black - Any other African / Caribbean background
  • Prefer to Self-Identify
  • Jewish
  • Native American
  • Mixed / Dual heritage White & Native American
  • Prefer not to say

Do you identify as a D/deaf or Disabled person?

  • Yes
  • No
  • Prefer not to say

Do you identify as Trans/Transgender?

  • Yes
  • No
  • Prefer not to say
  • Prefer to self-identify

Which of the following best describes your sexuality?

  • Asexual
  • Bi/Bisexual
  • Gay man
  • Gay woman/lesbian
  • Heterosexual/straight
  • Queer
  • Prefer to Self-Identify
  • Prefer not to say

What is you gender?

  • Female
  • Male
  • Non-binary
  • Prefer not to say

Do you have any caring responsibilities? (check all that apply)

  • None
  • Primary carer of a child or children (under 18 years)
  • Primary carer or assistant for a disabled adult
  • Primary carer or assistant for an older person or people
  • Secondary carer (another person carries out main caring role)
  • Prefer not to say

What is your religion or belief?

  • No religion or belief
  • Buddhist
  • Christian
  • Hindu
  • Jewish
  • Muslim
  • Sikh
  • Prefer to self-identify
  • Prefer not to say