Form 1 Demographics Questionnaire

Demographics Questionnaire

Please enter your age

________ years

What is the highest education level that you completed

• Less than high school

• Completed high school

• Some college, no degree

• Associate’s degree

• Bachelor’s degree

• Post-bachelor’s degree

Please select your sex

• Male

• Female

Are you Hispanic, Latino, or Spanish origin?

• Yes

• No

What is your race? Choose one or more races

• White

• Black or African American

• American Indian or Alaska native

• Asian

• Native Hawaiian or other Pacific Islander