1.In what UK region do you live?

East of England

East Midlands

London

North East

North West

Northern Ireland

Scotland

South East

South West

Wales

West Midlands

Yorkshire And The Humber

2.Which of the following options most closely aligns with your gender?

Woman

Man

Non-binary

A gender not listed here

Prefer not to answer

Self described gender 

3.What is your age?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

4.Do you consider yourself to be:

Heterosexual or straight

Bisexual

Lesbian or gay

Prefer not to say

A sexuality not listed here

5.Which of the following best describes your current relationship status?

Married

Widowed

Divorced

Separated

In a domestic partnership or civil union

Single, but cohabiting with a partner

Single, never married

6.Which race/ethnicity best describes you and your family? (Please choose only one.)

Asian/Asian British- Indian, Pakistani, Bangladeshi or Any other Asian background

Black, Black British, Caribbean or African- Caribbean, African or Any other Black, Black British, or Caribbean background

Mixed or multiple ethnic groups- White and Black Caribbean, White and Black African, White and Asian or Any other Mixed or multiple ethnic background

White- English, Welsh, Scottish, Northern Irish or British, Irish, Gypsy or Irish Traveller, Roma or Any other White background

Other ethnic group- Arab or Any other ethnic group

Rather not say

Another race or ethnicity (please specify)

None of the above

7.Please specify which race/ethnicity best describes you from the above groups?
E.g. If you selected Mixed or Multiple ethnic groups, would you say you were White and Black Caribbean, White and Black African, White and Asian or Any other Mixed or multiple ethnic background

IndianPakistaniBangladeshiChineseAny other Asian backgroundCaribbeanAfricanAny other Black, Black British, or Caribbean backgroundWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAny other Mixed or multiple ethnic backgroundEnglishWelshScottishNorthern IrishBritishIrishGypsy or Irish TravellerRomaAny other White backgroundArabAny other ethnic group

8.In what language do you speak most fluently?

Arabic

Armenian

Chinese

English

French

French Creole

German

Greek

Gujarati

Hindi

Italian

Japanese

Korean

Persian

Polish

Portuguese

Russian

Spanish

Tagalog

Urdu

Vietnamese

Other (please specify)

*9.Are you a person living with a disability?(Required.)

Yes

No