Appendix C Demographic Data Questionnaire [Note: In the form circulated to participants the layout of the questionnaire had greater

space between questions] PLEASE NOTE ALL RESPONSES ARE COMPLETELY ANONYMOUS SO PLEASE BE AS HONEST AS POSSIBLE IN GIVING YOUR ANSWERS. IT IS IMPORTANT THAT YOU ANSWER ALL QUESTIONS 1. Please state your age:

. 2. Male 3. Yes b) a) Your sex: [ ] Female [ ]

Could any other member of your immediate family be described as having a disability? (please tick) [ ] No [ ]

If yes to question 3a, please state the nature of the relationship (e.g. brother, sister, mother, uncle, etc.)

.. c) If yes to question 3a, please state the type of disability your relative has (e.g. MS, Cerebral Palsy, Learning Difficulties, etc.)

..

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4.

a)

To which Ethnic Origin group do you most closely belong: (please tick) [ ] [ ] [ ] [ ] Bangladeshi Black (African) Indian White (British) White (European) [ ] [ ] [ ] [ ] [ [

Black (Caribbean) Black (British) Chinese Pakistani

White (European non UK) [ ] Prefer not to say Other (please state) b) 5. Nationality [ ] [ ]

Highest qualification achieved: (please tick) [ [ [ [ [ [ ] ] ] ] ] ]

None GCSE / O Level / (G)NVQ Level 2 A Level / (G)NVQ Level 3 Diploma / NVQ Level 4 / HND Degree Post-Graduate Qualification Other (please state) 6. Yes b) a)

Did you attend a special needs school at any time during your education? (please tick) [ ] No [ ]

If yes to question 6a), approximately how many years did you attend a special needs school?

years

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7.

Employment:

Please tick which category reflects most closely your employment status: a) b) c) d) e) f) g) h) Full-time paid Part-time paid Full-time voluntary Part-time voluntary Unemployed due to age (retired) Never worked do to disability No longer work due to disability Training programme [ [ [ [ [ [ [ [ ] ] ] ] ] ] ] ]

If you work (or have worked), please state the type of work you do (or did) (be as precise as possible, e.g. teacher in primary school, clerk in accounts office) 8. Do you have a disability? (please tick) Yes No Dont know 9. [ ] [ ] [ ]

Do people who know you well think you have a disability? (please tick) Yes No Dont know [ ] [ ] [ ]

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10.

Do people who do not know you well think you have a disability? (please tick) Yes No Dont know [ ] [ ] [ ]

11.

If yes to questions 8, 9 or 10 please state type of impairment/disability, e.g. cerebral palsy, arthritis, etc. (please be as specific as possible if you have more than one impairment/disability, write the one you regard as affecting you the most first and so on): 1. 2. 3. .. . .

12. Never

How long have you regarded yourself as a disabled person? (please circle) 1-2 years 3-4 years 6-10 years Always 11-15 years

16-20 years

21 years or over

13. a)

How often do you come into direct, face-to-face contact, with disabled people? (please tick your answer for each situation) At work / college Daily Weekly At least once a month Once every 3 months [ ] [ ] [ ] [ ]

Less often than once every 3 months [ ]

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b)

At home (i.e. where you normally sleep) Daily Weekly At least once a month Once every 3 months [ ] [ ] [ ] [ ]

Less often than once every 3 months [ ] c) Social activities (i.e. pub, club, cinema, shopping, Day Centre, etc.) Daily Weekly At least once a month Once every 3 months [ ] [ ] [ ] [ ]

Less often than once every 3 months [ ] 14. On average, how many disabled people do you meet in each of the following situations? (please circle for each situation) a) b) c) 15. Work / college Home Social 0 0 0 1 1 1 2-5 2-5 2-5 6-10 6-10 6-10 11-20 21+ 11-20 21+ 11-20 21+

Please complete the statements below using one of the following: Good Okay Poor Very poor

Very good a) b)

In general, I feel my relationship with disabled people at work/college is In general, I feel my relationship with disabled people at home is

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c)

In general, I feel my relationship with disabled people in my social activities are If you or others regard you as a person with an impairment/disability, please tick the category you fell reflects most closely your impairment/disability: [ ] [ ] [ ] Learning difficulties Physical (non-wheelchair user) Wheelchair user [ ] [ ] [ ]

16.

Hearing impairment Mental health Sight impairment

Multiple impairments/disabilities Other (please state).

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