Equal Opportunities Form

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At BUZZCUT we have begun to monitor our artist development & presentation programmes to better understand who is and isn't accessing our opportunities.
As we grow and develop the organisation, this information helps us to identify patterns and potential barriers that may exist in our approaches. From this we can better advocate for shifting our approach and advocating to funders & partners on how to address barriers faced by people historically excluded from live art. Please answer as many questions as you feel comfortable to do below.

Your reply will be treated in confidence and in accordance with the Data Protection Act 1998.

Role / Opportunity you undertook with BUZZCUT? (e.g. residency, lead artist, technician, designer etc.) *

Age: How old are you? *

Mark only one oval.

Under 18

18-24

25-44

45-65

65+

Prefer not to say

Disability: Do you identify as Disabled and/or experience any of the below, which have lasted, or are expected to last, at least 12 months? Please state which of the following you consider applies to you; *

Visual Disability (e.g. due to blindness or partial sight)

Hearing (e.g. due to deafness or partial hearing)

Mobility, such as difficulty walking short distances or climbing stairs

Learning, concentrating or remembering

Chronic condition

Physical condition

None of the above

Prefer not to say

I prefer to Self Identify ( please respond below)

Other:

Required

Sexuality: What best describes your sexuality? *

Gay or Lesbian

Queer

Bisexual

Heterosexual

Prefer not to say

I prefer to Self Identify ( please respond below)

Other:

Gender: What gender do you identify? * *

Man

Woman

Non-Binary / Genderqueer

Prefer not to say

I prefer to Self identify ( please respond below)

Other:

Is your gender identity the same as the sex you were assigned at birth? *

Yes

Prefer not to say

Ethnicity and Race: Please indicate which best describes your ethnic group or racial background. *

Tick all that apply. These categories are based off the Creative Scotland equal opps form, which is set by the UK census data.

Asian / Asian Scottish / Asian British

Chinese / Chinese Scottish / Chinese British

South East Asian / South East Asian Scottish / South East Asian British

Indian / Bangladeshi / Pakistani / South Asian / South Asian Scottish / South Asian British

African / African Scottish / African British

Caribbean / Caribbean Scottish / Caribbean British

Black/ Black Scottish / Black British

Arab / Arab Scottish / Arab British

Mixed or Multiple Racial Heritage

White Scottish/ White British

Irish

Gypsy, Roma or Traveller (GRT)

Polish

Prefer not to say

White Other (please specify below)

I prefer to Self Identify (please respond below)

Other:

Required

Caring responsibilities: Do you have caring responsibilities? *

Tick all that apply.

Primary carer of a child/children (under 18)

Primary carer of disabled child/children

Primary carer of disabled adult (18 and over)

Primary carer of older person

None

Other:

Required

How would you describe your Socio-economic background? *

* Socio-economic background relates to a complex combination of an individual's income, occupation and social background*

Working Class

Middle Class

I prefer to Self Identify - (Please respond below)

Other:

Required

Gaelic Language: Do you identify as a Gaelic speaker or are you currently learning Gaelic? *

I identify as a Gaelic Speaker

I'm learning Gaelic

I do not speak Gaelic

Prefer not to say

Thank you for completing this form. We really appreciate it. If you have any feedback about it please send it to buzzcutkarl@gmail.com

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