2025 Culture and Wellbeing Service: Equal Opportunities Monitoring Form

(Required) Female Genderqueer Genderfluid Gender neutral Male Non-binary Transgender Other Prefer not to say

(Required) 16 or under 17-24 25-34 35-44 45- 54 55-64 65+ Prefer not to say

(Required) Asian: Bangladeshi Asian: Indian Asian: Pakistani Any other Asian background British Black: African Black: Caribbean Any other Black background Chinese: Any Chinese background English Irish Mixed Ethnic Background: Asian and White Mixed Ethnic Background: Black African and White Mixed Ethnic Background: Black Caribbean and White Any other Mixed Ethnic Background Scottish Welsh White: Any White background Any Other Ethnic Background Prefer not to Say

Heterosexual Gay Lesbian Bisexual Prefer not to say