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CS Diversity and Inclusion Monitoring Form
As part of our commitment to develop Diversity within the membership, we first need to understand where we stand now. All information is anonymous and confidential and treated in accordance to our GDPR guidelines.
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What is your age?
18-24
25-30
30-35
35-40
40-45
45-50
50-60
60-70
70+
Clear selection
With Which Gender do you Identify?
Gender can be complex and people are defining themselves in new and different ways as we gain a deeper understanding of identities. The selection below is by no means complete. If you feel you do not identify with those listed please manually input in the box below the selections.
Gender Identity
Cisgender [Female] (The gender you were allocated at birth)
Cisgender [Male] (The gender you were allocated at birth)
Transgender (Someone whose gender identity is different from the one they were assigned at birth might identify as transgender.)
Non-Binary (Someone who does not identify as a man or a woman, or solely as one of those two genders.)
Gender Queer (Someone may identify as genderqueer if their gender identity is neither male nor female, is between or beyond genders, or is some combination of genders)
Gender Fluid (Gender fluid may refer to a gender which varies over time.)
Gender Neutral (Someone who feels they are neither male or female may identify as gender neutral.)
Clear selection
Additional Gender Identity
Your answer
Sexuality
Sexuality can be complex and people are defining themselves in new and different ways as we gain a deeper understanding of sexuality. The selection below is by no means complete. If you feel you do not identify with those listed please manually input in the box below the selections.
Sexuality
Lesbian
Gay
Bisexual
Demisexual
Pansexual
Straight
Asexual
Clear selection
Additional Sexuality
Your answer
she/her
Your answer
Ethnicity
Ethnicity is also complexed and no where near as rigid as the selections below. This is by no means a complete list and we understand that people define their ethnicity differently. Our aim is to learn, grow and redefine. If you do not see the ethnicity you identify as please input it manually into the box below the following selections; we're not asking for your ethnicity at birth but instead what you identify as today.
What is your ethnicity?
English Welsh, Scottish, Northern Irish or British
Black British
Irish
Romani or Irish Traveller
White and Black Caribbean
White and Black African
White and Asian
Indian
Pakistani
Bangladeshi
Asian
Chinese
African
Caribbean
Arab
Clear selection
Additional Ethnicity
Your answer
Disability
If you consider yourself to have a disability please write it in the box below; however there is no demand for disclosure if you do not please select no.
Do you consider yourself to have a disability?
Yes
No
Clear selection
Disability (If you answered yes and happy disclosing)
Your answer
When there is a gendered role, which gender role do you usually audition for?
Male
Female
Clear selection
Annual Income
£0 - £10,000
£11,000 - £20,000
£21,000 - £30,000
£31,000 - £40,000
£41,000 - £49,000
£50,000-£59,000
£60,000 - 69,000
£70,000+
Prefer not to say
Clear selection
Submit
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