Equality, Diversity & Inclusion Monitoring Form – Customers

Cumbernauld Theatre Trust Ltd wants to meet the aims and commitments set out in its equality policy. This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the workforce in encouraging equality and diversity. The organisation needs your help and co-operation to enable it to do this, but filling in this form is voluntary
Please indicate your sex(Required)
“Sex” relates to the sex recorded on your birth certificate or Gender Recognition Certificate.
Is the gender you identify with the same as your sex registered at birth?(Required)
Are you married or in a civil partnership?(Required)
Age(Required)
Ethnicity(Required)
Do you consider yourself to have a disability or health condition?(Required)
What is your sexual orientation?(Required)
What is your religion or belief?(Required)

Do you have caring responsibilities? If yes, please tick all that apply(Required)
Do you identify as Neuro-divergent?(Required)
Do you experience poor health or poor mental health?(Required)
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Do you have experience growing up in, or are currently living in material poverty?(Required)
Have you grown up in the care system?(Required)
What was the occupation of the main/highest income earner in your household when you were 14?
Are you a Gaelic or Scots speaker?(Required)
Is English your primary language?(Required)
Do you consider yourself to be displaced, for example a refugee or asylum seeker?(Required)
Do you live in a geographical location which may inhibit opportunities?(Required)
Do you have personal experience of the criminal justice system?(Required)
Do you have any personal experience of drug and/or alcohol addiction?(Required)

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