Arts & Culture Penrith - Page 1 of 6 - Cumbria County Council

About You

1. Which age range describes you?

(Required) 16 or Under 17-20 21-25 26-29 30-39 40-49 50-59 60-69 70-79 80 or over

2. Which option describes your gender?

(Required) Female Male Non Binary Prefer not to say

3. What is your ethnicity? Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box

White

	White
English
Welsh
Scottish
Northern Irish
Irish
British
Gypsy or Irish Traveller
Prefer not to say

Any other white background, please write in box below

Mixed/multiple ethnic groups

	Mixed/Multiple ethnic Groups
White and Black Caribbean
White and Black African
White and Asian
Prefer not to say

Any other mixed background, please write in the box below

Asian/Asian British

	Asian/Asian British
Indian
Pakistani
Bangladeshi
Chinese
Prefer not to say

Any other Asian background, please write in box below

Black/African/Caribbean/Black British

	Black/African/Caribbean/Black British
African
Caribbean
Prefer not to say

Any other Black/African/Caribbean background, please write in box below

Other ethnic group

	Other ethnic group
Arab
Prefer not to say

Any other ethnic group, please write in box below

4. What is your Postcode?

(Required)

5. Which of the following best describes you?

(Required) Full time Employed Part-time Employed Not employed for pay Caregiver (e.g. children, elderly) Homemaker Full-time Student Part-time Student Other (Please specify below)

If you answered OTHER to Q5, how would you describe what you do?