Equality Monitoring Form
Position on Project
Please tick the option relevant to you
Above the line cast
Below the line cast
Director
Producer
Writer
Head of Department
Disability & Access
Do you relate to any of these statements? You can choose more then one.
I am a disabled person
I have a disability
I have a long-term health condition
I have a mental health condition
I am Deaf
I am deaf, deafened, hard of hearing or hearing impaired
I am dyslexic or dyspraxic
I am autistic or neurodivergent
I am sight impaired
I have long-term difficulties with mobility which impact my regular day-to-day life
No, I don’t relate to any of these
Don't know
Prefer not to say
Other
If you would prefer to self-identify, please detail:
Gender
What best describes your gender?
Man (including trans men)
Woman (including trans women)
Non Binary / Gender Queer
Prefer to self-identify
Prefer not to say
If you would prefer to self-identify, please detail:
Are you the same gender as assigned to you at birth?
Yes
No
Prefer not to say
Ethnic Origin
Asian/Asian British
Asian - Bangladeshi
Asian - Chinese
Asian - Indian
Asian - Pakistani
Asian - Another Asian/South Asian/East Asian/South East Asian backgrounds
Black/African/Caribbean/Black British
Black/Black British - African
Black/Black British - Caribbean
Black/Black British - Any other Black/African/Caribbean backgrounds
Mixed/Multiple Ethnic Groups
Mixed - Asian & White
Mixed - Black African & White
Mixed - Black Caribbean & White
Mixed - Any other Mixed/Multiple Ethnic Group backgrounds
White
White - British/English/Welsh/Scottish/Northern Irish
White - Gypsy or Irish Traveller
White - Irish
White - Roma
White - Any other White backgrounds
Other Ethnic Group
Other - Arab
Other - Jewish
Other - Middle Eastern & North African Heritage
Other - West and Central Asian Heritage
Other - Any Other Ethnic Group backgrounds
Prefer not to say
Not Known
Age
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+
Prefer not to say
Not Known
Sexual Identity
What is your sexual identity?
Asexual
Bisexual
Gay Man
Gay Woman/Lesbian
Straight/Heterosexual
Prefer to self-identify
Prefer not to say
Not Known
Religion/Belief
What is your religion or belief?
Agnostic
Atheist
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
No Religion
Other
Prefer not to say
Not Known
If other, please specify:
Socioeconomic & Class
What was the occupation of your main household earner when you were aged about 14?
Modern professional & traditional professional occupations such as: teacher, nurse, physiotherapist, social worker, musician, police officer (sergeant or above), software designer, accountant, solicitor, medical practitioner, scientist, civil / mechanical engineer.
Senior, middle or junior managers or administrators such as: finance manager, chief executive, large business owner, office manager, retail manager, bank manager, restaurant manager, warehouse manager.
Clerical and intermediate occupations such as: secretary, personal assistant, call centre agent, clerical worker, nursery nurse.
Technical and craft occupations such as: motor mechanic, plumber, printer, electrician, gardener, train driver.
Routine, semi-routine manual and service occupations such as: postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, sales assistant, HGV driver, cleaner, porter, packer, labourer, waiter/waitress, bar staff.
Long-term unemployed (claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year)
Small business owners who employed less than 25 people such as: corner shop owners, small plumbing companies, retail shop owner, single restaurant or cafe owner, taxi owner, garage owner.
This question does not apply due to being care experienced
Other
Prefer not to say
Not Known
If other, please specify:
Caring Responsibilities
Do you have any caring responsibilities?
Primary carer of a child or children (under 18)
Primary carer of disabled adult (18 and above)
Primary carer of disabled child or children
Primary carer of older person (65 and above)
Secondary carer
None
Prefer not to say
Not Known
Returnships
Are you returning to work following an extended period (12 months or more) of absence?
Yes
No
Prefer not to say
Not Known
If yes, select one of the following to describe the reason for your career break:
Education
None
Period of ill health
Primary carer of adult (18 and above)
Primary carer of child or children (under 18)
Other
Prefer not to say
Not Known
If other, please specify:
Nation/Region
Type a question
England
England, East Midlands
England, East of England
England, London
England, North East
England, North West
England, South East
England, South West
England, West Midlands
England, Yorkshire & Humber
Northern Ireland
Scotland
Wales
Other
Prefer not to say
Trainee
If you were a trainee on this project, how did you hear about the opportunity?
Word of mouth
ScreenSkills
Other
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