Systems Leadership Demographics

Please could you tell us a little bit about yourself?

What is your marital status?

Which of the following best describes how you think of yourself?

Woman

Man

Self-definition

Prefer not to say

Is your gender the same as assigned at birth?

Yes

No

Prefer not to say

Which of the following best describes how you think of yourself?

What is your ethnic background?

Asian/Asian British

Other Asian background (please state)

Black/Black British

African

Caribbean

Any other black background (please state)

Other black background (please state)

White/White British

English/Northern Irish/Scottish/Welsh

Irish

Gypsy/Traveller/Irish Traveller

Any other white background (please state)

Other white background (please state)

Mixed background (please state)

Any other ethnic background (please state)

Prefer not to say

Yes

What is your religion?

Other religion (please state)

Is there anyone who is sick, disabled, or needs support whom you look after or give special help to?

Yes

No

Prefer not to say

Do you have any long-standing physical or mental illness or disability? By long-standing, we mean anything that has troubled you over a period of at least 12 months or that is likely to affect you over a future period of at least 12 months?

Yes

No

Prefer not to say

If yes, and you are happy to do so, please briefly describe the condition

What is your highest level of education?

No schooling

Primary

GCSE / O-level or equivalent / post-14 apprenticeship

A level or equivalent / post-16 apprenticeship

Degree level or equivalent

Postgraduate degree level or equivalent

Prefer not to say

What is your current employment status?

What is your postcode? (leave blank if you prefer not to say)

Search form

You are here