Your Details
Your first name
Your last name
Your email address
Project Click to selectArcola staffArcola freelancersArcola freelancers 2021-22Arcola Volunteers 2021-22Die WalkurePossessionNo For An AnswerSputick Sweetheart
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 1920-3435-4950-6464+
What is your gender? Click to selectFemale (including trans women)Male (including trans men)Non-Binary (e.g. androgyne)Prefer not to say
Is your gender identity different to your sex as assumed at birth? Click to selectYesNoPrefer not to say
Ethnicity (Please pick the option with which you most strongly identify) Click to selectEnglish, Welsh, Scottish or Northern IrishWhite - IrishWhite - Gypsy, Irish TravellerAny other WhiteWhite & AsianWhite & Black CaribbeanWhite & Black AfricanAny other Mixed / Multiple EthnicityIndianPakistaniChineseAny other AsianBlack - AfricanBlack - CaribbeanAny other Black, African, CaribbeanArabOtherPrefer not to say
If your ethnicity was not specified above, please feel welcome to add it here
Which of the following best describes your sexual orientation? Click to selectStraight/HeterosexualGayLesbianBisexualQueerOtherPrefer not to say
If your sexuality was not specified above, please feel welcome to add it here
Do you live with a disability or long term health condition? Click to selectVisually impairedHearing impairedPhysical DisabilityCognitive or learning disabilityMental Health ConditionOther Long term / Chronic conditionCognitive or learning disabilityNo disabilityPrefer not to say
Please tell us the parental occupation (of the highest earner in the household) when you were aged 14 Click to selectRoutine manual and service occupations such as: HGV driver, cleaner, porter, packer, labourer, waiter/waitress, bar staff.Technical and craft occupations such as: motor mechanic, plumber, printer, electrician, gardener, train driver.Clerical and intermediate occupations such as: secretary, personal assistant, clerical worker, call centre agent, nursery nurse.Semi-routine manual and service occupations such as: postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, sales assistant.Middle or junior managers such as: office manager, retail manager, bank manager, restaurant manager, warehouse manager.Traditional professional occupations such as: accountant, solicitor, medical practitioner, scientist, civil / mechanical engineer.Senior managers or administrators (usually responsible for planning, organising and co-ordinating work, and for finance) such as: finance manager, chief executive.Prefer not to say
Are you Neuro Divergent? (i.e. Dyspraxia, Dyslexia, Autism, ADHD etc.) Click to selectYesNoPrefer not to say