New Core Form Template (DO NOT USE)

Participant's First Name

Participant's Second Name

Participant's DOB

Participant's Email

Participant's Phone Number

Participant's Home Postcode

Is the participant educated in Westminster?

Yes

Participant's Gender

Female (including trans female)

Male (including trans male)

Non-binary

All other gender identities

Prefer not to say

Participant's Ethnicity

Does the participant have a disability? Disability is defined by the Equality Act as: 'a physical or mental impairment that has a 'substantial' and 'long-term' negative effect on your ability to do normal daily activities'

Disabled under the Equality Act: Day-to-day activities limited a lot

Disabled under the Equality Act: Day-to-day activities limited a little

Not disabled under the Equality Act: Has long-term physical or mental health condition but day-to-day activities are not limited

Not disabled under the Equality Act: No long-term physical or mental health conditions

Prefer not to say

Is the participant in receipt of free school meals?

Yes

Prefer not to say