Equality monitor Which of the following best describes how you think of yourself?MaleFemaleIs your gender the same as you were assigned at birth?YesNoWhat was your age last birthday?Do you consider yourself to have an illness or disability which has lasted or is expected to last 12 months?NoPhysical disabilityLearning disabilityMental healthSight lossBlindnessHearing lossDeafnessOther substantial and long term conditionWhat is your postcode?Which of the following options best describes how you think of yourself?Heterosexual / straightGayLesbianBi-sexualWhich of the following best describes your religious beliefsNo religionChristianBuddhistHinduJewishMuslimSikhOtherWhich of the following best describes how you think of yourself?White English / Welsh / Scottish / Northern Irish / BritishWhite IrishWhite East EuropeanWhite otherMixed white / black CaribbeanMixed white / black AfricanMixed white / black AsianMixed otherAsian or Asian British IndianAsian or Asian British PakistaniAsian or Asian British BangladeshiAsian or Asian British KashmiriAsian or Asian British otherBlack or black British CaribbeanBlack or black British AfricanBlack or black British otherChineseArabGypsy or travellerOtherDon't knowAre you pregnant or have you had a child in the last year?YesNo
