Black Women Running Demographic Information This section is background information for understanding who you are Question Title * 1. What is your age? 17 or younger 18-20 21-29 30-39 40-49 50-59 60 or older Question Title * 2. Which race/ethnicity best describes you? (Please choose only one.) American Indian or Alaskan Native Asian / Pacific Islander Black or African American Hispanic Hispanic-non white Other (please specify) Question Title * 3. Select the gender that you most identify with Male Female Other Question Title * 4. Do you consider yourself to be: Heterosexual Homosexual Bisexual Transgendered Question Title * 5. What is the highest level of school you have completed or the highest degree you have received? Less than high school degree High school degree or equivalent (e.g., GED) Some college but no degree Associate degree Bachelor degree Graduate degree Question Title * 6. What is your marital status ? Single Married Divorced Separated Widowed Question Title * 7. Which of the following categories best describes your employment status? Employed, working full-time Employed, working part-time Not employed, looking for work Not employed, NOT looking for work Retired Disabled, not able to work Question Title * 8. What city do you currently live in? Question Title * 9. In what state or U.S. territory do you live? Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia (DC) Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Question Title * 10. How many children, by age, currently live in your household? If none, type in 0 none Less than 1 year old 1 year old 2 years old 3 years old 4 years old 5 years old 6 years old 7 years old 8 years old 9 years old 10 years old 11 years old 12 years old 13 years old 14 years old 15 years old 16 years old 17 years old 18 years old or older Question Title * 11. Were you born in the United States? If NOT, then what is your country of origin? Question Title * 12. Are you a member of a Sorority? If yes which one Alpha Kappa Alpha Delta Sigma Theta Sigma Gamma Rho Zeta Phi Beta Not a member of a sorority Other (please specify) Next