A565 Junction Improvements Phase 1 - Equalities monitoring - Sefton Council

5. Are you okay with giving your details as explained in the privacy notice?

Yes

6. How old are you?

A birthday card

16 - 24 25 – 34 35 – 49 50 - 64 65 - 74 75 + Prefer not to say

7. Sex. Which of the following best describes you? (Please select one)

Female

Male

Prefer not to say

Prefer to self-describe

Please use this box to self-describe.

8. Is the gender you identify with the same as your sex registered at birth? (Please select one).

Yes

Prefer not to say

If no, please describe.

9. Ethnicity - What is your ethnic group? (Please select one).

Asian or Asian British - Includes Indian, Pakistani, Bangladeshi, Chinese and any other Asian background

Black, Black British, Caribbean or African - Includes African, Caribbean and any other Black background

A face made up of different ethnic backgrounds

Mixed heritage or belonging to multiple ethnic groups - Includes White and Black British, White and Black Caribbean, White and Black African, White and Asian, and any other mixed or multiple ethnic background.

White - Includes English, Welsh, Scottish, Northern Irish or British; Irish; Gypsy or Irish Traveller; or any other White background

Prefer not to say.

Other ethnic group, please describe below

Other ethnic group (please describe)

10. What is your religion or belief? (Please select one).

Buddhist

Christian (including Church of England, Catholic, Protestant, and other Christian denominations)

Jewish

Hindu

Muslim

Sikh

No religion or belief

Another religion or belief (please state below)

Prefer not to say

Please state another religion or belief.

11. Sexual Orientation - Which of the following best describes your sexual orientation? (Please select one)

Straight or heterosexual

Gay or Lesbian

The bisexual flag which is made up of the colours pink, purple and blue stripes

Bi or bisexual

Prefer not to say

Prefer to self-describe

Prefer to self-describe.

12. Disability - Do you have any physical or mental health conditions, impairments, or learning differences that has a long-term and significant impact on your ability to carry out everyday tasks? This means anything long term that makes daily tasks harder for you.

Does this apply to you?

Yes

Prefer not to say

If you selected ‘Yes’, what categories best describe your impairment, condition or access need? (Please select all that apply)

Different types of disabilities

Chronic or long-term condition Chronic or long-term pain Dexterity (handling or using objects) Hearing Learning, understanding or concentrating Memory Mental health Mobility (moving around) Neurodivergence (including autism, ADHD and other social or behavioural differences) Neurological condition (including epilepsy) Speech or language Stamina, breathing or fatigue Vision Prefer not to say Another impairment, condition or access need.

Another impairment, condition or access need, please describe

13. Marital Status and Living Together. What is your legal marital or registered civil partnership status? (Please select one)

Never married and never legally registered in a civil partnership

Married

Woman with Civil Partnership Certificate and flowers

In a legally registered civil partnership

No longer married or no longer in a civil partnership

Widowed or surviving member of a civil partnership

Prefer not to say

Are you living with someone?

Yes

Prefer not to say

14. Armed Forces. Do you or have you previously served in the in the UK armed forces? (Please select one)

Yes, I currently serve or have previously served in the REGULAR Armed Forces

A man in a soldier uniform with a green tick

Yes, I currently serve or have previously served in the RESERVE Armed Forces.

Prefer not to say

15. Care Experienced - Have you ever been in the care of a local authority or public care system?

A woman and a child in a wheelchair and the Sefton logo

This could include being in foster care, residential care, or another formal care arrangement.

We are asking whether you spent more than 13 weeks in care at any time during your childhood or teenage years, up to age 16.

Does this apply to you?

Yes

Prefer not to say

16. Which type of secondary school did you attend for the most time between the ages of 11 and 16? (Please select one)

“Socio-economic background” means the kind of social and financial situation you grew up in. This helps understand how this might have influenced your education and career.

We measure this by asking the type of education you had between the ages of 11 and 16.

A state-run or state-funded school (this includes a Local Authority school that is free to attend)

A state-run or state-funded school that selected based on academic ability, faith or other grounds

Independent or fee-paying school, for example, private schools

Independent or fee-paying school, where I received a bursary or grant covering 90% or more of my tuition, for example, private schools

Attended school outside the UK

I was NEET (Not in Education, Employment or Training) during this period

children with special educational needs in a supportive enviornment

I attended a school for students with SEND (Special Educational Needs and Disabilities)

I don't know

Prefer not to say