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Cyfannol Women's Aid is committed to striving for equality for all, and that we reflect the communities that we serve.

To help with this, from time to time, we undertake a survey of our staff, trustees and volunteers in order to monitor diversity within the organisation.

Please can you complete the following survey - all replies are anonymous and will be used for monitoring purposes only.

Thank you.

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* 1. What is your current relationship with Cyfannol?

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* 2. What is your gender?

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* 3. Is your gender identity the same as the gender you were assigned at birth?

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* 4. What is your age group?

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* 5. What is your sexuality?

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* 6. What is your religion?

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* 7. Are your day-to-day activities limited because of a health condition or disability which has lasted, or is expected to last, at least 12 months?

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* 8. If yes to the question above, which of the following categories apply?

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* 9. What is your first language?

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* 10. Are you a Welsh speaker?

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* 11. Do you have any dependent children?

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* 12. Do you look after, or give help to support adult family members, friends, neighbours or others because of their long-term physical or mental ill health/disability or problems relating to old age?

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* 13. How would you describe your ethnic origin?

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* 14. How would you describe your national identity?

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* 15. What is your marital status?

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