A. SEX(Required)What sex were you assigned at birth, on your original birth certificate? Male Female Prefer not to sayB. GENDER REASSIGNMENT(Required)What is your current gender identity? Male Female Transgender, male to female Transgender, female to male Genderqueer or non-binary Agender Not specified above, please specify Prefer not to sayOther gender identity(Required)C. SEXUAL ORIENTATION(Required)What is your sexual orientation? Asexual Bisexual Gay Heterosexual Lesbian Pansexual Queer Not specified above, please specify Prefer not to sayOther sexual orientation(Required)D. RACIAL/ETHNIC IDENITY(Required)What is your ethnicity? White Black Asian Arab/Middle Eastern Hispanic/Latino American Indian / Alaska Native Native Hawaiian / Other Pacific Islander Not specified above, please specify Prefer not to sayOther racial/ethnic identity(Required)E. DISABILITYAre you a person living with a disability? Yes No Prefer not to sayDISABILITY – EMPLOYER RELATED(Required)You indicated that you are living with a disability. Do you require any adjustments to be able to do your job effectively? Yes No Prefer not to sayF. AGE(Required)How old are you? Under 18 18-24 25-34 35-44 45-54 55-64 65+ Prefer not to sayG. ENGLISH AS FIRST LANGUAGE(Required)Is English your first language? Yes No POrefer not to sayH. RELIGION(Required)Do you identify with any of the following religions? No religion or belief/Atheist Christian Buddhist Hindu Jewish Muslim Sikh Taoist/Confucian Bahai Jainist Not specified above, please specify Prefer not to sayOther religion(Required)I. EDUCATION LEVEL – FIRST IN FAMILY(Required)What is the highest level of education of your parent(s) or guardian(s)? Compulsory formal education until school leaving age Technical qualification Completed High School / High School Diploma/Certificate Completed 2-3 years of college / university / Undergraduate Bachelor’s Degree Completed 5 years of college / university / Master’s Degree PhD - Doctorate Other - please specify Prefer not to sayOther education level - first in familyJ. HOUSEHOLD INCOME SUPPORT(Required)At any point during your compulsory school years did your household receive support related to education (e.g. income support, free school meals)? Yes No Don't know Prefer not to sayK. PARENTAL STATUS(Required)Are you a parent or caretaker of children? Yes No Prefer not to sayL. CARER STATUS(Required)Are you a carer of adults? Yes No Prefer not to sayΔ
