USATT Diversity, Equity and Inclusion Committee Survey

We are inviting you to complete this short survey. All data will be anonymous and will be used by USATT and the DEI committee to create and foster safe spaces for underrepresented and marginalized groups. We appreciate your time in contributing to our mission.

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* 1. What is your gender? (If more than one apply, please check "other" and write in all that are applicable.)

Male

Female

Other, please specify if you identify as one or more of the following: nonbinary, agender, bigender, androgyne, gender fluid, transgender, or something else.

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* 2. What is your current age?

Under 18

18 - 24

25 - 32

33 - 42

43 - 53

54 - 64

65 - 75

76 - 85

86+

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* 3. Do you wish that there were more sporting events based around your age category?

YES - Please Provide an Explanation:

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* 4. Do you have a physical or cognitive disability? (e.g., permanent injury, ASD, ABI, amputation, etc.)

Yes - Please Provide an Explanation:

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* 5. What is your country of citizenship?

United States of America

Canada

Mexico

England

France

Germany

China

Japan

Sweden

Russia

Other (Please Specify)

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* 6. What is your country of residence?

United States

Canada

Mexico

England

France

Germany

China

Japan

Sweden

Russia

Other (please specify):

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* 7. What is the postal code for your current residence?

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* 8. What is your ethnicity?

White or Caucasian

Black or African American

Hispanic or Latina (o) (x)

Asian or Asian American (Including South Asian / Indian)

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Another race, ethnicity or origin

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* 9. Are you a member of a table tennis club?

Yes - Please State the Name of Your Club:

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* 10. Do you consider yourself to be a part of the LGBTQI Community?

Yes