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LeDeR – Learning from lives and deaths

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Additional personal detail of person who died

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Please provide additional personal details of the person who died

What was their ethnic group

White

Ethnic Groups

Select one group.

British

Irish

Gypsy or Irish Traveller

Any other White background

please describe

Mixed or multiple ethnic groups

Ethnic Groups

Select one group.

White and Black Caribbean

White and Black African

White and Asian

Any other Mixed or Multiple ethnic background

please describe

Asian or Asian British

Ethnic Groups

Select one group.

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background

please describe

Black, African, Carribean or Black British

Ethnic Groups

Select one group.

African

Caribbean

Any other Black, African or Caribbean background

please describe

Other

Ethnic Groups

Select one group.

Arab

Any other ethnic group

please describe

They preferred not to say

Religion (optional)

No religion

Christian, including Church of England, Catholic, Protestant and all other Christian denominations

Buddhist

Hindu

Jewish

Muslim

Sikh

They preferred not to say

Any other religion

Legal marital or registered civil partnership status (optional)

Single

Married or Civil Partner

Divorced or Person whose Civil Partnership has been dissolved

Widowed or Surviving Civil Partner

Separated

Not disclosed

Did they have a significant relationship, life partner or similar relationship? (Optional)

Yes

I don't know

Sorry

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