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Queens Anti-Hate Survey
Personal Information (Section 1) - Answer all questions to the extent that you are comfortable answering.
Anti-Hate (Section 2) - Please choose the most appropriate answer.
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Gender Identity:
Female
Male
Transgender
Nonbinary
Gender Nonconforming
Other:
Clear selection
Please write your age:
Your answer
Nationality/Country of Origin
Your answer
Race:
American Indian/Alaska Native
Asian
Black
Native Hawaiian or Other Pacific Islander
White
Other:
Ethnicity:
Arab
African
Caribbean
Indo-Caribbean
Afro-Latinx
Chinese
Jewish
Greek Indigenous
Latino/a/x
Filipino
Korean
South Asian
Prefer not to answer
Other:
Clear selection
Sexual Orientation:
Straight
Gay
Lesbian
Bisexual
Other:
Clear selection
Please name the agency you are affiliated with here:
Your answer
Please provide us with your zip code:
Your answer
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