Demographic Data Collection Form

About our demographic data collection form

This form is optional and completely anonymous. By choosing to complete it, you’ll help us better understand who we are reaching and where we need to strengthen our reach. Your responses will support us in making our work more inclusive, representative, and accessible to everyone. Thank you for your help.

Please select the area of the charity you have been involved with:

What is your age?

We are fortunate to have a community that spans a wide age range. Our work is for everyone & inclusive of all ages, but it is useful for us to measure how many people we reach in our target demographic.

18-24
25-34
35-44
45-54
55-64
65+
Prefer not to say

Where do you live?

Which of the following best describes your gender?

Female
Male
Non-binary
Intersex
Prefer not to say
Other

How do you describe your gender?

Do you identify as trans?

Which of the following best describes your sexuality?

Bisexual
Straight / Heterosexual
Gay or Lesbian
Queer
Prefer not to say
Other

How do you describe your sexuality?

Which of the following best describes your ethnicity?

We're using broad categories to align with the census to help us set comparative, meaningful targets, but would love to know how you self-describe in the next question.

Asian
Black
Mixed or multiple ethnic groups
White
Prefer not to say
Other

What best describes your ethnicity?

eg. Jewish, Arab, Chinese, Mixed: South Asian & Black Caribbean, Persian, White: European, White: Gypsy, Roma or Irish Traveller

Do you consider yourself to be a migrant? And if so, what type of migrant would you identify as?

This question is designed for all types of migrants (economic migrants, students, family joiners, asylum seekers and refugees who are first-generation and/or recent migrants to the UK). The terms “migrant” and “refugee” are often used interchangeably. Please select all terms that apply.

Migrant
Asylum Seeker
Refugee
Prefer not to say
Other

Do you consider yourself to be disabled?

Yes
No
Prefer not to say

What categories best describe your disability, impairment, condition or access need?

We know this list isn't exhaustive and some people prefer to use these terms differently or interchangeably, so please select all that apply and feel free to write your own term.

Chronic or long term illness
Mobility/physical impairment
Sensory impairment
Mental health condition
Learning disability/difficulty
Neurodivergent
Prefer not to say
Other

Do you consider yourself to be neurodivergent?

eg. Autism, ADHD, Dyslexia, Dyspraxia

Yes
No
Prefer not to say

Which of the following best describes your religion or beliefs?

Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
Non-religious (Atheist, Humanist etc)
Prefer not to say
Other

Demographic Data Collection Form

Demographic data collection form

About our demographic data collection form