CS Diversity and Inclusion Monitoring Form

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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.

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

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

she/her

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

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

Clear selection

Disability (If you answered yes and happy disclosing)

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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