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Demographic Survey for Healx

To support our Diversity, Equity and Inclusion mission at Healx, we would like to collect information on the socio-demographic composition of our candidates and future potential employees. This information will give us a clearer picture of our team and will highlight areas of our business where we lack diverse representation allowing us to take positive action to address it. It will also help us to build an inclusive environment, where everyone can feel confident in bringing their true selves to work and reach their full potential. Please support this initiative by providing as much information as you feel comfortable with. Submission of the information on this form is strictly voluntary and refusal to provide it will not subject you to any adverse treatment or affect your job application. Information obtained will be kept separate from your name or job application. This information will be kept secure and confidential and will be used solely to evaluate our diversity and inclusion efforts.

  • What is your age range?
  • What term best describes your gender?
  • Do you identify as trans?

    Trans is an umbrella term for people whose identity differs from what is typically associated with the sex they were assigned at birth. People under the trans umbrella may describe themselves using one or more of a wide variety of terms – including transgender.

  • How would you describe your sexual orientation?
  • How would you describe your nationality?
  • How do you describe your ethnicity?
  • What is your marital status?
  • Care giving status?
  • Do you have a disability as defined in the Equality Act 2010?
  • How do you view yourself?
  • What is your current religious affiliation - if any?
  • What is your current highlest level of education?
  • Are you the first generation in your family to go to University?