Wakefield Council Culture Grants 2026- Equalities Monitoring Form

This form is not compulsory. The information collected in this form is anonymous and will be used to evaluate our activity.

If you are applying as a collective or organisation, please complete as the lead applicant or creative. Please do not include any personal or identifiable information in your responses.

Wakefield Council does not collect personal data through this questionnaire. As responses are anonymous, they do not constitute personal data under data protection legislation (including GDPR and the Data Protection Act 2018).

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* 1. What is the first half of your postcode? (optional)

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* 2. What is your sex?

Female/Woman

Male/Man

Prefer Not to Say

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* 3. Is your gender identity the same as the sex you were assigned at birth?

Yes

Prefer Not to Say

I self-describe my gender identity as:

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* 4. How old are you?

18-24

25-34

35-44

45-54

55-64

65-74

75-84

85+

Prefer not to say

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* 5. How would you describe your ethnicity or ethnic background?

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background. (please state in the box below)

African

Caribbean

Any other Black, African or Caribbean background (please state in the box below)

White and Black Caribbean

White and Black African

White and Asian

Any other Mixed or Multiple ethnic background (please state in the box below)

English, Welsh, Scottish, Northern Irish or British

Irish

Gypsy or Irish Traveller

Roma

Any other White background (please state)

Arab

Prefer not to say

Any other ethnic group (please state)

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* 6. Do you have any physical or mental health conditions lasting 12 months or more?

Yes

Prefer not to say

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* 7. Do any of your conditions reduce your day-to-day activities?

Yes, limited a lot

Yes, limited a little

Prefer not to say

Not applicable

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* 8. How would you describe your sexual orientation?

Heterosexual or straight

Gay man or gay woman / lesbian

Bisexual

Prefer not to say

I self-describe my sexual orientation as:

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* 9. What is your religion or belief?

No religion (including atheist)

Christian

Buddhist

Hindu

Jewish

Muslim

Sikh

Prefer not to say

Other (please specify)

Thank you for completing this form.