Your experience *
Please tell us about your experience here.
Please tell us your age
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Please tell us which gender you identify with
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How do you prefer to self-describe?
Please tell us which sexual orientation you identify with
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How do you prefer to self-describe?
Please select your ethnicity
- None - Arab Asian/ Asian British: Bangladeshi Asian/ Asian British: Chinese Asian/ Asian British: Indian Asian/ Asian British: Pakistani Asian/ Asian British: Any other Asian/Asian British background (please specify) Black/ Black British: African (please specify) Black/ Black British: Caribbean Black/ Black British: Any other Black/Black British background (please specify) Mixed/ Multiple ethnic groups: Asian and White Mixed/ Multiple ethnic groups: Black African and White Mixed/ Multiple ethnic groups: Black Caribbean and White Mixed/ Multiple ethnic groups: Any other Mixed/ Multiple ethnic groups background (please specify) White: British/ English/ Northern Irish/ Scottish/ Welsh White: Irish White: Gypsy, Traveller or Irish Traveller White: Roma White: Any other White background (please specify) Any other ethnic group (please specify) Prefer not to say
If other, please specify
Please select which religion or belief you identify with
- None - Buddhist Christian Hindu Jewish Muslim No religion Sikh Other religion (please specify) Prefer not to say
If other religion, please tell us more
What is your current partnership (or relationship) status?
- None - Single Cohabiting In a civil partnership Married Separated Divorced/ Dissolved civil partnership Widowed Prefer not to say
Thank you for your time!