1 Start 2 Complete Age Prefer not to specify 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+ Gender Prefer not to specify Man Woman Intersex Non-binary or Agender A gender not listed Is your gender the same one as was assigned to you at birth on your birth certificate? Yes No Prefer not to specify Ethnicity Prefer not to specify Asian / Asian British: Bangladeshi Asian / Asian British: Chinese Asian / Asian British: Indian Asian / Asian British: Pakistani Asian / Asian British: Other Asian Black/ African/ Caribbean/ Black British: African Black/ African/ Caribbean/ Black British: Caribbean Black/ African/ Caribbean/ Black British: Other Black White: British White: English White: Gypsy or Irish Traveller White: Irish White: Northern Irish White: Scottish White: Welsh White: Other White Mixed/ Multiple Ethnic: White and Black Caribbean Mixed/ Multiple Ethnic: White and Black African Mixed/ Multiple Ethnic: White and Asian Mixed/ Multiple Ethnic: Other Mixed Other Ethnic Group: Arab Other Ethnic Group: Any other Ethnic Group Faith / Religion Prefer not to specify Buddhist Christian Hindu Jewish Muslim Sikh None Other Sexual orientation Prefer not to specify Bisexual Heterosexual Gay / Lesbian Pansexual Queer Asexual A sexual orientation not listed Disability Do you consider yourself to have a disability? Prefer not to specify Yes No Leave this field blank
