U.S. Demographics - Snapshot Template
1.
What is your gender identity?
Man
Woman
Non-binary
Prefer to self-describe (please specify)
2.
Which category below includes your age?
17 or younger
18-20
21-29
30-39
40-49
50-59
60 or older
3.
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
4.
Which of the following categories best describes your employment status?
Employed, working 40 or more hours per week
Employed, working 1-39 hours per week
Not employed, looking for work
Not employed, NOT looking for work
Retired
Disabled, not able to work
5.
How much total combined money did all members of your HOUSEHOLD earn last year?
$0 to $9,999
$10,000 to $24,999
$25,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $124,999
$125,000 to $149,999
$150,000 to $174,999
$175,000 to $199,999
$200,000 and up
Prefer not to answer
6.
Which race or ethnicity best describes you? (Select all that apply)
American Indian or Alaska Native
Asian or Asian-American
Black or African-American
Hispanic or Latino/a
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
Another race (please specify)
Current Progress,
0 of 6 answered