IASA Diversity & Inclusion and Women in Leadership Committee Survey

Demographic Questions

Your responses to the questions in this section will help us in the analysis of the other responses in this survey. Your responses are completely anonymous and cannot be tied back to you as an individual.

Question Title

* 1. Please indicate the gender with which you identify.

Female

Male

Other (please specify)

Question Title

* 2. To which racial group(s) do you belong? Please select all that apply.

Caucasian/White

African American/Black

American Indian/Alaska Native

Asian

Native Hawaiian/Pacific Islander

Other (please specify)

Question Title

* 3. Are you of Hispanic/Latino/Spanish heritage?

Yes

Question Title

* 4. Are you a member of the LGBTQIA+ Community?

Yes

Prefer Not to Answer