The Crucible Community - Winter 2009
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1. Default Section
Welcome to The Crucible's Winter 2009 Community Survey.
Thanks for taking our survey. The information you provide helps us qualify for grants and funding, and to understand and serve your needs.
1
. What is your relationship to The Crucible?
What is your relationship to The Crucible?
Event Attendee
Faculty/Instructor
Member/Donor
Volunteer
Staff
Student
Other
2
. What is your gender?
What is your gender?
Female
Male
3
. What is your highest education level?
What is your highest education level?
some High School
High School Graduate
Some College
College Graduate
4
. What is your current employment status?
What is your current employment status?
Student
Self employed
Employed
Unemployed
Retired
5
. What is the year of your birth?
What is the year of your birth?
6
. What is your 5 digit zip code?
What is your 5 digit zip code?
7
. How many people are in your household?
How many people are in your household?
younger than 18?
18 or older?
8
. Do you own or rent your primary residence?
Do you own or rent your primary residence?
Rent
Own
9
. What is your household income? (Optional)
What is your household income? (Optional)
< $25,000
$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
10
. What is your ethnicity? (Optional)
What is your ethnicity? (Optional)
Asian
Black/African American
Hispanic/Latino
Native American
Native Hawaiian/Pacific Islander
Racially Mixed
White/Caucasian
Other (please specify)
We would like to offer our thanks for your willingness to help make The Crucible even better.
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