Board/Public Meeting Attendee Survey
1.
Which of the following categories best describe your race? (Select all that apply)
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Prefer not to say
2.
What is your national origin?
American
Canadian
Mexican
European
Asian
African
Australian
South American
Prefer not to say
Other (please specify)
3.
What is your sexual orientation?
Heterosexual
Homosexual
Bisexual
Asexual
Pansexual
Queer
Prefer not to say
Other (please specify)
4.
What is your gender identity?
Male
Female
Transgender
Non-Binary
Genderqueer
Gender Fluid
Prefer not to say
Other (please specify)
5.
What is your creed or religion? (Select all that apply)
Christianity
Islam
Hinduism
Buddhism
Judaism
Atheism
Agnosticism
Prefer not to say
Other (please specify)
6.
What is your age group?
19-29
30-39
40-49
50-59
60 or over
Prefer not to say
7.
Do you identify as having a disability?
Yes
No
Prefer not to say
8.
Is English your first language?
Yes
No
9.
If English is not your first language, what is your first language?
10.
Do you have any Tribal Affiliation?
Yes
No
Prefer not to say
11.
If you have a Tribal Affiliation, which tribe(s)?
12.
Do you have any feedback, comments, or suggestions?