E&D Monitoring Form

Herefordshire FA is required to compile anonymous information on those individuals accessing its services and activities. Diversity monitoring is the process of gathering and analysing data on people’s characteristics. These characteristics are sometimes referred to as race, gender, transgender, disability, religion and belief, sexual orientation, age and disability. Monitoring allows Herefordshire FA to understand the makeup of those accessing its programmes within affiliated football and meet the needs of individuals if activities need adapting. Anyone involved with affiliated football are encouraged to respond to the questions about themselves, however, participation is entirely optional and you are not obliged to self-declare your characteristics. Participation however, provides us with a clear picture of the makeup of those involved with our programmes and the information we receive is only used for monitoring and statistical purposes only.

Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol

Ethnicity

Please select the ethnicity that applies to you. If you prefer not to say, simply click in 'other background'.

Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol

Disability

Under the Equality Act 2010, disability is defined as a physical or mental impairment that has a substantial and long term adverse effect on the ability to carry out normal day to day activities. Substantial means more than minor or trivial. Impairment covers, for example, long term medical conditions such as asthma and diabetes, and fluctuating or progressive conditions such as rheumatoid arthritis or motor neurone diseases. A mental impairment includes mental health conditions (such as bipolar disorder or depression), learning difficulties (such as dyslexia) and learning disabilities (such as autism and Down’s syndrome). Some people including those with cancer, multiple sclerosis, and HIV/AIDS are automatically protected as disabled people by the Act.

Select or enter value
Caret IconCaret symbol

Please only answer this question if you answered 'yes' to the previous question. If you have indicated yes, please indicate the impairment(s) that you feel applies to you

Select or enter value
Caret IconCaret symbol

How would you describe the religion to which you feel you belong?

Select or enter value
Caret IconCaret symbol

Which of the following options best describe how you think of yourself?

Select or enter value
Caret IconCaret symbol