Youth Engagement Coordinator Equal Opportunities Form

Please feel free to skip any question you would prefer not to answer.

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* 1. What is your gender identity?

Woman (including trans women)

Man (including trans men)

Non-binary (e.g. androgyne)

Prefer not to say

Not specified above, please specify

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* 2. Is your gender identity different to the sex you were assigned at birth?

Yes

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* 3. Please select your age group

0-19

20-34

35-49

50-64

65-74

75+

Prefer not to say

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* 4. Please describe your disability status

D/deaf and/or disabled, or have a long term health condition

Not D/deaf and/or disabled

Prefer not to say

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* 5. Do you identify as neurodivergent?

Yes

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* 6. Please select the term best describing your ethnicity

Any other Asian background

Any other Black background

Any other ethnic group

Any other Mixed background

Any other White background

Arab

Banglasdeshi

Black African

Black Caribbean

Chinese

Gypsy, Roma or Irish Traveller

Indian

Latin American

Pakistani

Prefer not to say

White & Asian

White & Black African

White & Black Caribbean

White British

White Irish

Other (please specify)

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* 7. Please describe your sexual orientation

Bisexual

Gay Man

Gay Woman / Lesbian

Heterosexual / Straight

Queer

Prefer not to say

Other (please specify)

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* 8. What was the occupation of the highest income earner in your household at aged 14?

Modern Professional Occupations (such as: teacher, nurse, physiotherapist, social worker, musician,
police officer (sergeant or above), software designer.)

Clerical and Intermediate Occupations (such as: secretary, personal assistant, call centre
agent, clerical worker, nursery nurse.)

Senior Managers and Administrators ((usually responsible for planning, organising and coordinating work, and for finance) such as: finance manager, chief executive.)

Technical and Craft Occupations (such as: motor mechanic, plumber, printer, electrician, gardener, train driver.)

Semi-Routine Manual and Service Occupations (such as: postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, sales assistant.)

Routine Manual and Service Occupations (such as: HGV driver, cleaner, porter, packer, labourer, waiter/waitress, bar staff.)

Middle or Junior Managers (such as: office manager, retail manager, bank manager, restaurant manager, warehouse manager.)

Traditional Professional Occupations (accountant, solicitor, medical practitioner, scientist, civil / mechanical engineer.)

Short Term Unemployed

Long Term Unemployed (claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year)

Retired

Not applicable

Don’t know

Prefer not to say

Other (please specify)

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* 9. Please describe how you self-identify your class

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* 10. Do you consider yourself to have experience of poverty or homelessness (or have you ever been at risk of homelessness)?

Yes

Prefer not to say

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* 11. Do you have experience of the care sytem?

Yes