Adult Disability Payment Review: consultation

Yes No Don't know Prefer not to say

Yes, a little Yes, a lot Not at all

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Scottish Other British Irish Gypsy/Traveller Polish Any mixed or multiple ethnic group Pakistani, Pakistani Scottish Or Pakistani British Indian, Indian Scottish or Indian British Bangladeshi, Bangladeshi Scottish or Bangladeshi British Chinese, Chinese Scottish or Chinese British African, African Scottish or African British Caribbean, Caribbean Scottish or Caribbean British Black, Black Scottish or Black British Arab, Arab Scottish or Arab British Other ethnic group (please write in below)

Female Male Prefer not to say

No Yes Prefer not to say

Heterosexual/Straight Gay/Lesbian Bisexual Other (please write in below) Prefer not to say

None Church of Scotland Roman Catholic Other Christian Muslim Buddhist Sikh Jewish Hindu Pagan Another religion (please write in below)

Yes No I prefer not to answer

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