Demographic Survey

What is your age?

18-24

25-34

35-44

45-54

55-64

65 or older

Under 18

What is your gender?

Male

Female

Non-binary/Third gender

Prefer not to say

What is your highest level of education completed?

Associate's Degree

Doctorate or Professional Degree

Master's Degree

Bachelor's Degree

Some College

High School Diploma/GED

Some High School

What is your employment status?

Employed full-time

Employed part-time

Self-employed

Unemployed

Student

Retired

Other (specify)

Other (specify)

What is your annual household income?

$25,000 - $49,999

Prefer not to say

$150,000 or more

$100,000 - $149,999

$50,000 - $74,999

Under $25,000

$75,000 - $99,999

What is your marital status?

Single

Married

Divorced

Widowed

Separated

Prefer not to say

What is your ethnicity?

Hispanic or Latino

Pacific Islander

Native American or American Indian

Asian

Black or African American

White

Other (specify)

Other (specify)

What is your primary language?

English

Spanish

Chinese

Hindi

Arabic

Bengali

Other (specify)

Other (specify)

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