Your Details
Your first name
Your last name
Your email address
Project/Role Click to selectArcola staff (Office)Arcola Staff (Front of House/Bar)Participation PractitionerDuty TechnicianVolunteerTrusteeThe Book of GraceLa BohemeThe Band Back TogetherWomen who Blow On Knots
Monitoring details
Note: although collected on the same form, the details here will be stored separately from any information that identifies you personally.
Age Click to selectUnder 1920-3435-4950-6465-7474+
Please indicate your sex (as you identify): Click to selectFemaleMaleIntersexPrefer not to say
Please indicate your gender identity (as you identify): Click to selectWomanManNon-BinaryPrefer not to say
Is your gender identity different to your sex as registered at birth? Click to selectIt is the sameIt is differentPrefer not to say
Ethnicity (Please pick the option with which you most strongly identify) Click to selectIndianPakistaniBangladeshiChineseAny other AsianWhite BritishWhite IrishGypsy, Roma or Irish TravellerAny other WhiteWhite & AsianWhite & Black CaribbeanWhite & Black AfricanAny other mixed backgroundBlack AfricanBlack CaribbeanAny other Black backgroundArabLatin AmericanAny other ethnic groupPrefer not to say
Which of the following best describes your sexual orientation? Click to selectStraight/HeterosexualGay ManGay Woman/LesbianBisexualQueerIn another wayPrefer not to say
Do you identify as disabled? Click to selectd/Deaf and or disabled, or have a long term health conditionNo disabilityPrefer not to say
Please tell us the occupation of the main/highest earner in the household when you were aged 14 Click to selectRetiredLong Term UnemployedShort Term UnemployedSelf employedTraditional Professional OccupationsMiddle or Junior ManagersRoutine Manual and Service OccupationsSemi-Routine Manual and Service OccupationsTechnical and Craft OccupationsSenior Managers and AdministratorsClerical and Intermediate OccupationsModern Professional OccupationsDo not knowNot ApplicablePrefer not to say
Please indicate the category your current role best aligns with: Click to selectRetiredLong Term UnemployedShort Term UnemployedSelf employedTraditional Professional OccupationsMiddle or Junior ManagersRoutine Manual and Service OccupationsSemi-Routine Manual and Service OccupationsTechnical and Craft OccupationsSenior Managers and AdministratorsClerical and Intermediate OccupationsModern Professional OccupationsDo not knowNot ApplicablePrefer not to sayOther
Are you Neuro Divergent? (i.e. Dyspraxia, Dyslexia, Autism, ADHD etc.) Click to selectYesNoPrefer not to say