Gender * Select Male Female Intersex Non-binary Prefer not to say Self-described
Self-described gender / N/A *
Age range * Select 16-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70+ Prefer not to say
Married or civil partnership * Select Yes No Prefer not to say
Ethnicity * Select British English Scottish Welsh Irish Northern Irish Gypsy or Irish Traveller Other White Background White and Black Caribbean White and Black African White and Asian Other Mixed Multi ethnic Background Indian Pakistani Chinese Bangladeshi Other Asian Background African Caribbean Other Black / African / Caribbean Background Arab Jewish Other Ethnic Background Prefer not to say
Sexual orientation * Select Heterosexual Gay Lesbian Bisexual Other Prefer not to say
Religious belief * Select Buddhist Christian Hindu Judaism Muslim Sikh Scientology Other No Religious Belief Prefer not to say
Practising? * Select Yes No Prefer not to say
Disability or health condition? * Select Yes No Prefer not to say
Reasonable adjustment / impact * (enter N/A if none)
Shift pattern adjustment needed * (enter N/A if none)
Caring responsibilities * Select No caring responsibilities Primary carer of child/children under 18 Primary carer of disabled child/children Primary carer of disabled adult (18 and over) Primary carer of older person Secondary carer Prefer not to say
