Disability Arts Online
Equal Opportunities and Diversity Monitoring Form
We would really appreciate if you could answer these few questions on diversity. This helps us to understand if we are reaching and including people from the full range of diversity in contemporary society. There are 'prefer not to say' options if you wish to opt out. The categories for this diversity data have been copied from Arts Council England's Monitoring Information form for consistency with other data sets.
A note on disability definitions: Disability Arts Online uses an inclusive definition of disability, based on the Social Model of Disability, which, by focusing on the disabling barriers imposed by society, embraces all physical, sensory and invisible impairments, learning disability, mental health and fatigue conditions.
Because we recognise that people’s perspectives and experience of disability are very wide ranging, we have a broad and inclusive approach to what disability means.
Some people will meet with access barriers on a daily basis; others may have a mental or physical impairment or health condition which is invisible to others or which they prefer to keep to themselves; some people may not even have considered themselves to be disabled until something has happened to make them reflect on the issue.
Double click on the relevant box to mark as ‘checked’
* 1. Ethnicity:
White - British
White - Irish
White - Gypsy or Irish traveller
Any other white background
Mixed - White and Black Caribbean
Mixed - White and Black African
Mixed - White and Asian
Mixed - Any other Mixed/Multiple ethnic background
Asian / Asian British - Indian
Asian / Asian British - Pakistani
Asian / Asian British - Bangladeshi
Asian / Asian British - Chinese
Asian / Asian British - Any other Asian background
Black/Black British - African
Black/Black British - Caribbean
Black/Black British - Any other Black/African/Caribbean background
Other: Arab
Other: Prefer not to say
Other (please specify)
* 2. Age:
Under 16
16-19
20-24
25-39
40-59
60-64
65 and older
Prefer not to say
* 3. Do you identify as a disabled person?
Yes
No
* 4. Gender identity:
Male (including female-to-male trans men)
Female (including male-to-female trans women)
Non-binary (for example, androgyne people)
Prefer not to say
* 5. Gender assumed to be at birth:
Male
Female
Prefer not to say
* 6. Sexual orientation
Heterosexual/straight
Gay, Lesbian, Bisexual
Prefer not to say
Other (please specify)
Please return your form to