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Diversity Commission Survey 2025
Personal Demographics
You may identify with more than one trait listed in certain sections. Please fill in
two or more circles
when applicable.If you prefer not to answer, you may
leave some sections blank.
1.
The Racial and Ethnic Identity(s) that best describe me are:
African American or Black
American Indian, Native American, or Alaska Native
Asian
Caucasian or White
Latino/a/x or Hispanic
Middle Eastern or North African
Pacific Islander
Another (please specify)
2.
Gender Identity
Agender
Bigender
Female
Male
Non-Binary
Transgender
Another (please specify)
3.
Sexual Orientation
Asexual
Bisexual
Heterosexual
Homosexual
Pansexual
Another (please specify)
4.
Do you have a disability (i.e. physical, intellectual, psychological, learning)
Yes
No
5.
Education Level Completed
Grade School
High School/Secondary School
College or University
Graduate School
PhD or MD
No Formal Education
Another
Major(s) if applicable
6.
Religious or Spiritual Practice
Agnosticism
Athesism
Buddhism
Christianity (Please note denomination in comments box)
Hinduism
Islam
Judaism
Sikhism
Spiritual/Not affiliated with a specific religion
Another (please note in comment box)
Denomination of Christianity OR Other religious practice
7.
Age
21 or Younger
22-25
26-29
30-39
40-49
50-59
60-69
70-79
80 or older
8.
Is English your first language?
Yes
No
If not, what is your first language?
9.
Do you communicate with more than one spoken language?
No
Yes
If yes, please list the languages
10.
Where did you live primarily as a child? (Please select all that apply)
DMV (DC, MD, VA)
Midwest (ND, SD, NE, KS, MN, IA, MO, WI, IL, IN, MI, OH)
Northeast (ME, NY, PA, NJ, CT, RI, MA, NH, VT, DE)
Southeast (WV, KY, TN, NC, SC, MS, AL, GA, FL, LA, AR)
Southwest (AZ, NM, TX, OK)
West (WA, OR, CA, NV, UT, ID, MT, WY, CO, AK, HI)
Another country/territory
11.
How many years have you been with L'Arche GWDC?
12.
Do you live in a L'Arche Home (Euclid, Highland, Ontario, or 6th Street)?
Yes
No
13.
Current Role(s) at L'Arche GWDC
Assistant
Awake Overnight Assistant
Board Member
Community Leadership
Core Member (Core Family Member)
Development Team
Executive Leadership
Finances and Operations
Service Leadership
Volunteer/Friend
Another