Strategic Housing Investment Plan 2010 - Falkirk Council

Strategic Housing Investment Plan 2011 - 2016 Appendix 3b
Equalities Information
2 Welsh 7 Northern Irish
3 British 8 Irish
4 Gypsy/Traveller 9 Polish
5 Other white ethnic group, please write in _____________________
B Mixed or multiple ethnic groups
10 Any mixed or multiple ethnic groups, please write in
________________________________________
C Asian, Asian Scottish or Asian British
11 Pakistani, Pakistani Scottish or Pakistani British
12 Indian, Indian Scottish or Indian British
13 Bangladeshi, Bangladeshi Scottish or Bangladeshi British
14 Chinese, Chinese Scottish or Chinese British
15 Other, please write in
___________________________________
D African, Caribbean or Black
16 African, African Scottish or African British
17 Caribbean, Caribbean Scottish or Caribbean British
18 Black, Black Scottish or Black British
19 Other, please write in
____________________________________
E Other ethnic group
20 Arab
21 Other, please write in
______________________________________
F 22 Prefer not to say
8. Sexual Orientation
Which of the following best describes your sexual orientation?
1 Bisexual 4 Other
2 Gay / Lesbian / 5 Prefer not answer
Homosexual
3 Heterosexual/Straight
9. Disability
A disabled person as defined by the Disability Discrimination Act is someone
with a physical or mental impairment that has a substantial and long term
impact on their ability to carry out day to day activities. This excludes
situations where sight can be corrected by glasses. Having read this
definition, please indicate if you consider yourself to have a disability under
any of the following categories, or tick ‘None’ if you do not consider yourself
disabled.