Self-Identification Questions

Question Title

* 1. Are you Francophone?

Yes

I do not wish to answer

Question Title

* 2. Do you consider yourself to be an Indigenous person? (select all that apply)

First Nations, Status Indian, Non-Status Indian

Inuk (Inuit)

Métis

No, not an Indigenous person

I do not wish to answer

Other (please specify)

Question Title

* 3. Which of the following best describes your racial or ethnic identity? (select all that apply)

Arab

Black

Chinese

Filipino

Japanese

Korean

Latin American

South Asian (e.g. East Indian, Pakistani, Sri Lankan, etc.)

Southeast Asian (e.g. Vietnamese, Cambodian, Laotian, Thai, etc.)

West Asian (e.g. Iranian, Afghan, etc.)

White

I do not wish to answer

Other (please specify)

Question Title

* 4. What is your religion or creed? (select all that apply)

Atheist

Buddhist

Hindu

Jewish

Muslim

Protestant

Roman Catholic

Other Christian, such as Eastern Orthodox and Ukrainian Catholic

Sikh

No religion

I do not wish to answer

Other religion (please specify)

Question Title

* 5. Are you a person with a disability?

Yes

I do not wish to answer

Question Title

* 6. Are you transgender, transsexual, gay, lesbian or bisexual? (select all that apply)

Transgender

Transsexual

Gay

Lesbian

Bisexual

No I do not wish to answer

Other (please specify)