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Demographic Survey

Demographic Survey

Demographic Survey for GenPride Constituents

Contact Information

First Name

Last Name

Preferred Email Address

Your Email

What Email is this?

Personal EmailWork Email

Preferred Phone Number

Preferred number

Home PhoneMobile Phone

Preferred method of contact:

EmailPhone

Date of Birth:

Zipcode

Pronouns

He / HimJust use my name!She / HerThey / Them (Singular)Ze / ZirOther(s)

What other pronouns do you use?

Demographic Data

The demographic data from this application, helps to expand grant funding for GenPRIDE. Your information is stored securely, and will never be shared with individuals. Please contact info@genprideseattle.org if you have any questions regarding this policy.

Race

Race (other)

Are you Hispanic or Latinx

YesNo

Sexual Orientation

Sexual Orientation (other)

Gender Identity

Gender Identity (other)

Do you identify as transgender?

YesNo

Do you have a disability?

YesNo

Do you need reasonable accommodations for a disability?

YesNo

Are you a veteran?

YesNo

Are you a family member of a veteran?

YesNo

Do you currently live alone?

YesNo

Are you currently experiencing homelessness

YesNo

Are you a refugee / immigrant?

YesNo

Do you have limited English

YesNo

Income

The Census ACS 1-year survey reports that the median household income for the Seattle-Tacoma-Bellevue Washington metro area was $82,133 in 2017, The ACS 1-year data shows the median family income for Seattle was $100,630 in 2017.

Do you live in a household with children under 18?

YesNo

Are you the authorized guardian for a child 18?

YesNo

Are you a student?

YesNo

Are you a caregiver?

YesNo

Would you like to sign up to our GenPride Newsletter for programming, news, and community updates?

YesNo

Contact Information
View your Rights Under GDPR

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PLEASE CONSIDER...

If you have not yet, please consider submitting demographic information!

It’s completely optional and all information is used for city and county reporting metrics. Demographic information assists us in understanding the diversity and when creating programming to better serve community like you.

Visit Demographic Survey

Created and maintained by Beatrix De La Busy Zoraida Yolande Miguelez