Δ How we use this formTo help inform the RCSLT’s Equality Diversity and Inclusion (EDI) Strategy, we are requesting that applicants for CPD Grants complete the following survey. Responses will be anonymised and the data collected will be used to help build on our EDI Strategic plan.What is your age group?(Required) 18-20 21-24 25-34 35-44 45-54 55-64 65+ Prefer not to say Do you consider yourself to have a disability (as defined by the Equalities Act 2010)?(Required) Yes No Prefer not to say Does your disability impact your work or study?(Required) Not at all Sometimes Constantly Significantly Prefer not to say Do you consider yourself neurodivergent?(Required) Yes No Prefer not to say Which of these named conditions do you associate with? Autism/Asperger’s/ASD Dyslexia Dyspraxia ADHD Other What is your ethnic group?(Required) Asian or Asian British Black, Black British, Caribbean or African Gypsy or Irish Traveller Mixed or multiple ethnic groups White British White Irish Other White Other ethnic group Prefer not to say Unknown What is your gender?(Required) Man (including trans man) Woman (including trans woman) Non-binary/Gender diverse Prefer to self-describe Prefer not to say What is your sexual orientation?(Required) Asexual Bisexual Gay Heterosexual Lesbian Pansexual Questioning Prefer not to say Other If you prefer to self-describe, please choose ‘Other’ – if you do not wish to disclose exactly how you self-describe, please enter a dash in the text-boxDo you have a LGBTQIA+ identity?(Required) Yes No Prefer not to say How do you identify? Lesbian Gay Bisexual Transgender Queer Questioning Intersex Asexual Prefer not to say Other If you prefer to self-describe, please choose ‘Other’ – if you do not wish to disclose exactly how you self-describe, please enter a dash in the text-boxWhat is your religion or belief?(Required) No religion or belief Buddhist Christian Hindu Jewish Muslim Sikh Prefer not to say Other What language do you mainly use in the workplace?(Required)What language do you mainly use at home?(Required)What type of school did you mainly attend between the ages of 11 and 16?(Required) State-run or state-funded school (non-selective) State-run or state-funded school (selective on academic, faith or other grounds) Attended school outside of the UK Independent or fee-paying school (no bursary) Independent or fee-paying school (bursary) Prefer not to say Other Which region did you live in at the age of 14?(Required) South East South West London East of England East Midlands West Midlands North East North West Yorkshire and Humberside Wales Scotland Northern Ireland Channel Islands Isle of Man Outside the UK Prefer not to say Other What is the highest level of qualification achieved by your parent(s) or guardian(s) by the time you were 18?(Required) Degree-level or equivalent Qualifications below degree-level No formal qualifications Unsure Not applicable Prefer not to say Other Thinking back to when you were aged about 14, which best describes the job of the main income earner in your household?(Required) Modern professional occupations such as: teacher/lecturer, nurse, physiotherapist, social worker, welfare officer, artist, musician, police officer (sergeant or above), Technical and craft occupations such as: motor mechanic, fitter, inspector, plumber, printer, tool maker, electrician, gardener, train driver Clerical and intermediate occupations such as: secretary, personal assistant, clerical worker, office clerk, call centre agent, nursing auxiliary, nursery nurse Middle or junior managers such as: office manager, retail manager, bank manager, restaurant manager, warehouse manager, publican Routine manual and service occupations such as: HGV driver, van driver, porter, packer, sewing machinist, messenger, labourer, wait staff, bar staff Senior managers and administrators usually responsible for planning, organising and co- ordinating work and for finance such as: finance manager, chief executive Long term unemployed (claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year) Traditional professional occupations such as: accountant, solicitor, medical practitioner, scientist, civil/mechanical engineer Not applicable Prefer not to say Other Thinking back to when you were aged about 14, did the main income earner in the household work as an employee or were they self-employed?(Required) Employee Self-employed/freelancer without employees Self employed with employees Not working Prefer not to say Compared to other people in general, would you describe yourself as coming from a lower socio economic background?(Required) Yes No Don’t know Prefer not to say Are you a care giver?(Required) Yes No Prefer not to say What is your current employment status?(Required) Employed full-time Employed part-time Self-employed Student Retired Emplyed full-time and studying Emplyed part-time and studying Prefer not to say Other What is your current job role?(Required) Practitioner Senior practitioner Manager Senior manager Director N/A Prefer not to say Other What is your average annual income?(Required) £9,999 or under £10,000 – £14,999 £15,000 – £19,999 £20,000 – £29,999 £30,000 – £39,999 £40,000 – £49,999 £50,000 – £59,999 £60,000 – £69,999 £70,000 or above Not currently working Prefer not to say
