Survey: Diversity, Equity, Inclusion and Belonging (DEIB)

1. Help us get to know you.

Special Olympics New York is committed to serving, employing and partnering with a community as diverse as that of New York State. Thank you for taking the time to complete this brief survey in support of our DEIB understanding and goals. All responses will remain anonymous.

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* 1. Which best describes you?

Athlete

Coach

Volunteer

Special Olympics New York Staff

Parent/Caregiver

Partner/Sponsor

LETR

Other (please specify)

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* 2. How old are you?

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* 3. What country were you born in?

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* 4. What city do you currently live in?

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* 5. What language(s) do you speak at home?

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* 6. What is your racial or ethnic identity? (Select all that apply.)

African-American/Black

East Asian

Hispanic/Latinx

Middle Eastern

Native American/Alaskan Native

Pacific Islander

South Asian

Southeast Asian

White

Other (please specify)

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* 7. What was your sex assigned at birth?

Male

Female

Intersex

Prefer Not To Say

Other (please specify)

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* 8. What is your gender identity?

Female

Male

Transgender Woman / Trans Feminine

Transgender Man / Trans Masculine

Non-Binary / Genderqueer / Gender Fluid

Two Spirit

Prefer Not To Say

Not listed above (please specify)

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* 9. What is your sexual orientation?

Asexual

Bisexual

Gay

Heterosexual or straight

Lesbian

Pansexual

Queer

Questioning

Prefer Not To Say

None of the above (please specify)

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* 10. What are your pronouns?

She/Her/Hers

He/Him/His

They/Them/Theirs

Other (please specify)