What is your sex?
Male
Female
Prefer not to say
Is the gender you identify with the same as your sex registered at birth?
Yes
No
Prefer not to say
What is your ethnic group?
Arab
Asian or Asian British: Bangladeshi
Asian or Asian British: Chinese
Asian or Asian British: Indian
Asian or Asian British: Other
Asian or Asian British: Pakistani
Black, Black British, Caribbean or African: African background
Black, Black British, Caribbean or African: Caribbean
Black, Black British, Caribbean or African: Other
Mixed: Other
Mixed: White and Asian
Mixed: White and Black African
Mixed: White and Black Caribbean
White: English/Welsh/Scottish/Northern Irish/British
White: Irish
White: Gypsy/Irish Traveller
White: Roma
White: Other
Any other ethnic group
Prefer not to say
Other ethnic group
Which of the following best describes your sexual orientation?
Straight/heterosexual
Gay or lesbian
Bisexual
Prefer not to say
Prefer to self-describe
If you prefer to self-describe, please tell us
What is your religion or belief?
No religion
Christian (including Church of England, Catholic, Protestant and all other Christian denominations)
Buddhist
Hindu
Jewish
Muslim
Sikh
Other religion/philosophical belief
Prefer not to say
Other religion or belief
Do you have any physical or mental health conditions or illnesses lasting or expected to last 12 months or more?
Yes
No
Prefer not to say
