This information is collected to help us ensure our committee is representative of the communities we serve. It is used for monitoring purposes only and will not influence the selection process. All fields in this section are optional.
Gender (optional)
Prefer not to say
Woman
Man
Non-binary
Gender fluid
I use a different term (please specify below)
Please specify your gender
Is your gender the same as the sex you were assigned at birth? (optional)
Prefer not to say
Yes
No
Ethnic Background (optional)
Prefer not to say
White Scottish
White Other British
White Irish
White Gypsy / Traveller
White Polish
White Other
Pakistani, Pakistani Scottish or Pakistani British
Indian, Indian Scottish or Indian British
Bangladeshi, Bangladeshi Scottish or Bangladeshi British
Chinese, Chinese Scottish or Chinese British
Asian Other
African, African Scottish or African British
Caribbean, Caribbean Scottish or Caribbean British
Black, Black Scottish or Black British
African, Caribbean or Black Other
Mixed or Multiple Ethnic Groups
Arab, Arab Scottish or Arab British
Other Ethnic Group
Do you consider yourself to have a disability or long-term health condition? (optional)
Prefer not to say
Yes
No
If yes, please describe your disability or condition (optional)
Sexual Orientation (optional)
Prefer not to say
Heterosexual / Straight
Gay or Lesbian
Bisexual
Pansexual
Queer
Other (please specify below)
Please specify your sexual orientation
Religion or Belief (optional)
Prefer not to say
No religion or belief
Church of Scotland
Roman Catholic
Other Christian
Muslim
Hindu
Jewish
Sikh
Buddhist
Other religion or belief
Do you have caring responsibilities? (optional)
Prefer not to say
Yes, for children
Yes, for adults (e.g. elderly or disabled relative)
Yes, for both children and adults
No