This form is completed anonymously and is strictly for monitoring purposes only. For information on how the LDBE handle your information please refer to the Diocesan Privacy Policy.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.What is your gender? *MaleFemalePrefer not to sayHow do you identify your gender? *MaleFemaleGender non-conformingPrefer not to say other Dyspraxia, Do What is your age group? *Under 1818-2425-3435-4445-5455-6465 and olderprefer not to sayWhat is your ethnicity? *White - English/Welsh/Scottish/Northern IrishWhite - IrishWhite - Gypsy or Irish TravellerWhite - Any other white backgroundMixed - White & Black CaribbeanMixed - White & Black AfricanMixed - White & AsianMixed Any other Mixed/Multiple Ethnic BackgroundAsian - IndianAsian - PakistaniAsian - BangladeshiAsian - ChineseAsian - BritishAsian - Any other Asian BackgroundBlack - AfricanBlack - CaribbeanBlack - BritishBlack - Any other Black/African/Caribbean BackgroundOther - ArabAny Other Ethnic GroupPrefer not to sayWhat is your Sexual Orientation? *HeterosexualHomosexualBisexualAsexualPrefer not to sayWould you describe yourself as having a disability? *YesNoPrefer not to sayDo you consider yourself to be neurodiverse? For example, Autism, ADHD (Attention Deficit Hyperactivity Disorder), Dyslexia, Dyspraxia, Autism Spectrum Disorder and other neurological differences. *YesnoPrefer not to saySubmit
