Diversity monitoring form

Scope is collecting data to monitor diversity. This helps us make Scope an inclusive place for the people we work with and support.

We will use this data to evaluate the diversity of people nominating equality champions, campaigns and organisations for Scope awards. This information will be stored separately to responses to the nomination form.

Please note the following questions apply to you as the nominator.

Question 1. What age group are you in?

Question 2. What best describes your gender?

If you use another term, please describe here:

Question 3. Is the gender you identify with the same as your sex registered at birth?

Question 4. What is your ethnic group?

If you identify with another ethnic group, please describe here.

Question 5. Are you disabled, have an impairment, condition or access need?

Question 6. Which of the following best describes your sexual orientation?

If you use another term, please describe here.

Name

This field is for validation purposes and should be left unchanged.