Open for Business LMS Demographics Survey

As part of the technical assistance and services RCAP is providing through the Open for Business Hub, we have been asked to collect information about the small business entrepreneurs we engage with. The purpose of this data gathering is to measure the impact this work is having as well as to ensure we are reaching the communities this program was created to serve. Answering the questions below is not required to participate in RCAP’s Open for Business services.

We thank you in advance for taking the time to share this information so that this program can be as impactful as possible. In what state or U.S. territory is your small business located?

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* 1. In what state or U.S. territory is your small business located?

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* 2. In what town is your small business located?

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* 3. In what ZIP code is your small business located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 4. To which gender identity do you most identify?

Man

Woman

Transgender

Non-Binary/Third Gender

Two-Spirit

Prefer Not to Answer

Prefer to Self-Describe

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* 5. What is your age?

17 or younger

18-20

21-29

30-39

40-49

50-59

60 or older

Prefer Not to Answer

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* 6. What is the highest level of school you have completed or the highest degree you have received?

Less than high school degree

High school degree or equivalent (e.g., GED)

Some college, no degree

Associate degree (e.g. AA, AS)

Bachelor’s degree (e.g. BA, BS)

Advanced degree (e.g. MA, MS, MEd, MBA, MD, PhD )

Prefer Not to Answer

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* 7. Race/Ethnicity (Listed in alphabetical order. Check all that apply)

American Indian or Alaska Native

Asian

Black or of African descent

Latinx or Hispanic or of Spanish origin

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

Prefer Not to Answer

Prefer to Self-Describe

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* 8. What is your primary language (i.e., the one you speak most of the time)?

English

Spanish

Other (please specify)

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