Education Demographics Template
1.
What is your gender identity?
Man
Woman
Non-binary
Prefer to self-describe (please specify)
2.
Do you identify as transgender or non-binary?
Yes
No
3.
Which race or ethnicity best describes you? (Select all that apply)
American Indian or Alaska Native
Asian or Asian-American
Black or African-American
Hispanic or Latino/a
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
Another race (please specify)
4.
What year were you born?
5.
What was the primary language spoken in your childhood home? (Please choose only one.)
Chinese
English
French
German
Italian
Korean
Russian
Spanish
Tagalog
Vietnamese
Other/multiple languages (please specify)
6.
Please describe what language(s) were primarily spoken in your childhood home.
7.
What is the highest level of education you have completed?
Did not attend school
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
Graduated from high school
1 year of college
2 years of college
3 years of college
Graduated from college
Some graduate school
Completed graduate school
8.
What is your approximate average household income?
$0-$24,999
$25,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000-$124,999
$125,000-$149,999
$150,000-$174,999
$175,000-$199,999
$200,000 and up
Current Progress,
0 of 8 answered