Eastbourne Borough Council - Equalities Monitoring Form

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When we ask you to complete any online or printed form we also ask if you would complete our Equalities Monitoring form. You can complete this form below.

Why Does the Council Ask for this Information?

Simply to monitor whether or not there are differences in levels of satisfaction with, and usage of the services we provide, between people in different equality groups.

We are legally required to monitor for equality, however you are not legally obliged to respond. Any information you do provide will help us to adapt our services in the future. Thank you.

1. How would you describe your ethnicity?

1b. If you chose any of the 'other' options, or none of the above describes your ethnicity how would you describe this yourself?

2. Do you have any longstanding illness, disability or infirmity?

Yes (Go to Question 3)
No (Go to Question 4)
Don't Know (Go to Question 4)

3. If yes, does this limit your activities in any way?

Yes
No

4. What is your gender?

5. How would you describe your sexual orientation?

6. How would you describe your religion or belief?

6b. If you selected 'Other Christian' or 'Other Belief' at Question 6, please specify here

7. What is your age?

8. What is your marital status?

9. Do you have dependants?

Eastbourne Borough Council, Town Hall, Grove Road, Eastbourne, East Sussex, BN21 4UG. Telephone: 01323 410000