JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Demographic Information
Tell us about yourself!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your age?
*
Your answer
Do you attend a school? if so what kind (High School, University, Community College, etc.)
*
No
Prefer not to answer
Other:
If you said yes above, what is your major or major you intend to pursue?
*
I said No
Prefer not to answer
Other:
Do you work? If so, what is your job?
I do not work
Prefer not to answer
Other:
Clear selection
What gender do you identify with?
*
Female
Male
Nonbinary
Prefer not to answer
Other:
What is your race/ethnicity?
*
White
Middle Eastern or North African
Black
American or Alaskan Native
Southeast/East Asian
Asian-Indian
Pacific Islander
Hispanic, Latino, or of Spanish origin
Prefer not to answer
Other:
Required
What is your nationality
Your answer
What is your household income? (US dollars)
*
over $1,000,000
$500,000-1,000,000
$250,000-500,000
$150,000-250,000
$100,000-150,000
$80,000-100,000
$60,000-$80,000
$40,000-60,000
$20,000-40,000
less than $20,000
Prefer not to answer
Have you ever been in the foster system?
*
Yes
No
Prefer not to answer
What is your Parent 1 (or parental guardian) highest education level?
*
Some High School
High School Degree
Some College
Bachelor's Degree
Master's Degree
pHD
Professor
MD
JD
N/A
Prefer not to answer
Other:
What is your Parent 2 highest education level?
*
Some High School
High School Degree
Some College
Bachelor's Degree
Master's Degree
pHD
Professor
MD
JD
N/A
Prefer not to answer
Other:
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report