1. Are you responding as an...
Individual
Organisation
Other (please specify)
2. If responding on behalf of an organisation or group, please write its
name here.
3. What do you like about the Draft Strategic Equality Plan 2016-2020?
4. Do you believe we have addressed the key issues affecting specific
groups of our diverse population in relation to Health?
Yes
Being from an ethnic minority
Being disabled
Being lesbian, gay or bisexual
Being a younger person (under 25
Being an older person (50 or over)
Being female
Being male
No
Being transgender
Being pregnant or recently giving birth
Being married or in a civil partnership
Having a religion or belief
5. Please explain why you think this.
6. Do you believe we have addressed the key issues affecting specific
groups of our diverse population in relation to Education?
Yes
Being from an ethnic minority
Being disabled
Being lesbian, gay or bisexual
Being a younger person (under 25)
Being an older person (50 or over)
Being female
Being male
Being transgender
Being pregnant or recently giving birth
Being married or in a civil partnership
Having a religion or belief
7. Please explain why you think this.
No
8. Do you believe we have addressed the key issues affecting specific
groups of our diverse population in relation to Employment and Pay?
Yes
No
Being from an ethnic minority
Being disabled
Being lesbian, gay or bisexual
Being a younger person (under 25)
Being an older person (50 or over)
Being female
Being male
Being transgender
Being pregnant or recently giving birth
Being married or in a civil partnership
Having a religion or belief
9. Please explain why you think this.
10. Do you believe we have addressed the key issues affecting specific
groups of our diverse population in relation to Personal Safety?
Yes
Being from an ethnic minority
Being disabled
Being lesbian, gay or bisexual
Being a younger person (under 25)
Being an older person (50 or over)
Being female
No
Being male
Being transgender
Being pregnant or recently giving birth
Being married or in a civil partnership
Having a religion or belief
11. Please explain why you think this.
12. Do you believe we have addressed the key issues affecting specific
groups of our diverse population in relation to Representation and
Voice?
Yes
Being from an ethnic minority
Being disabled
Being lesbian, gay or bisexual
Being a younger person (under 25)
Being an older person (50 or over)
Being female
Being male
Being transgender
Being pregnant or recently giving birth
Being married or in a civil partnership
Having a religion or belief
No
13. Please explain why you think this.
14. Do you believe we have addressed the key issues affecting specific
groups of our diverse population in relation to Access to Information,
Services, Buildings and the Environment?
Yes
Being from an ethnic minority
Being disabled
Being lesbian, gay or bisexual
Being a younger person (under 25)
Being an older person (50 or over)
Being female
Being male
Being transgender
Being pregnant or recently giving birth
Being married or in a civil partnership
Having a religion or belief
15. Please explain why you think this.
No
16. Are there any further comments you would like to make?
Equality Monitoring Questions
Conwy County Borough Council is committed to ensuring that its
services, policies and practices are free from discrimination and
prejudice and that individuals are treated fairly and according to their
needs. Knowing the individual characteristics of our customers can help
us to ensure that no one receives less favourable treatment because of
their sex, race, national origin, religion or belief, marital status, disability,
sexual orientation, gender reassignment, age or language.
To assist us in providing services that meet the needs of different types
of people, we would be grateful if you would answer the questions
below. You are under no obligation to provide the information requested,
but it would help us greatly if you did.
Data Protection: Personal data supplied on this form will be held on
computer and will be used in accordance with the Data Protection Act
1998. The information you provide will be used for statistical analysis,
management, planning and the provision of services by the Conwy
County Borough Council and its Partners. The Council may pass on
certain details to partner agencies as required, however, we will not
share any personal information collected as part of this survey with any
other third party without your consent except where required by law.
Q1 What
is your age?
Under 12
35-44
75-84
12-15
45-54
Over 85
16-24
55-64
Prefer not to say
25-34
65-74
Q2 What
is your gender?
Prefer not to
Male
Female
Other
say
The Equality Act 2010 defines a disabled person as a person that has a physical or
mental impairment, which has a substantial and long term adverse effect on the
person’s ability to carry out normal day-to-day activities (i.e. has lasted or is
expected to last at least 12 months).
Q3 Do
you consider yourself to have a disability according to the terms of the
Equality Act 2010?
Yes
No
Prefer not to say
Q4 If
you have answered yes, please indicate the type of impairment(s) which
apply to you:
Mobility impairment (such as difficulty using arms/legs)
Sensory Impairment (such as being blind/deaf or having a hearing/visual
impairment)
Mental health condition (such as depression or anxiety)
Learning / cognitive impairment (such as Down’s syndrome or autism)
Long-standing illness or health condition (such as diabetes or epilepsy)
Prefer not to say
Other please explain:
_______________________________________________________
Q5 What
is your national identity?
British
English
Northern Irish
Welsh
Scottish
Irish
Prefer not to say
Other please
specify:
_____________________
____
Q8 What is your ethnic group?
White
Chinese
Black
Mixed
Asian
Gypsy / Traveller
Prefer not to say
Other please
specify:
_________________
Q9 At birth were you described as: (please tick one option)
Prefer not to
Male
Female
Other
say
Q10 Since birth has your gender identity changed? (please tick one option)
Yes
No
Prefer not to say
Q11 What is your sexual orientation?
Heterosexual / straight
Bi-sexual
Gay man
Prefer not to say
Gay woman or lesbian
Other please specify:
________________
Q13 What is your marital / civil partnership status?
Married or same sex civil
partnership
Prefer not to say
Single
Q14 What is your religion?
Christian
Hindu
No religion
Muslim
Buddhist
Prefer not to say
Sikh
Jewish
Atheist
Other please specify:
______________________________
Q15 Are you currently pregnant or have you been pregnant or taken maternity
leave in the last year?
Yes
Prefer not to say
No
Other please specify:
________________
Does not apply to me