SELF Community Learning Survey Question Title * 1. Please pick the option that best describes your connection to SELF/LSS (select all that apply) SELF teaches at my school I joined a workshop through a community organization I participated in SMASH I participated in one to one education/check ins OK Question Title * 2. Your Gender OK Question Title * 3. Your age 10-14 15-17 18-22 23-55 55+ OK Question Title * 4. What is your race/ethnicity? Multiracial African American, African, Black, of African Descent American Indian, Native American, Alaska Native, Native Hawaiian, indigenous Asian American, Asian, Pacific Islander, of Asian/ Pacific Islander descent White/Caucasian/European descent Latinx/Hispanic Arab American, Arab, or of other Middle Eastern/ North African descent Other (please specify) OK Question Title * 5. Do you... Have an IEP Have a disability (physical, learning, mental health, etc) I do not have a disability Prefer not to answer OK NEXT