Equality & Diversity Form - Mercury Playwrights

What is your gender?*

Woman
Man
Non-binary
Prefer not to say
Prefer to self-describe (let us know below)

What is your gender?

Is your gender different from the sex you were assigned at birth?

Yes
No
Prefer not to say

Please indicate your age range*

What is your ethnic background?*

What is your ethnic background?

Equality Act 2010

A person is covered under the Equality Act 2010 if they have a physical or mental impairment, which has a substantial and long term (over 12 months) adverse effect on their ability to carry out normal day to day activities. People who have had such a disability in the past are also covered.

Do you consider yourself to be covered by this act?*

Yes
No
Prefer not to say
Unknown

If yes, please indicate what type of disability/impairment:

What is your sexual orientation?*

What is your sexual orientation?

Equality & Diversity Form – Mercury Playwrights

Equality Act 2010