Bike Works Community Survey

Demographic Info

Please help us evaluate our efforts to foster an equitable and inclusive environment by sharing some information about yourself. This information is confidential, optional, and anonymous. We are surveying our community so that we may assess our work through an equity lens.

Question Title

* 1. Gender Identity (check all that apply)

Female

Male

Non-binary

Transgender

Other (please specify)

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* 2. Pronouns (check all that apply)

He/him

She/her

They/them

Other (please specify)

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* 3. Race/Ethnicity (check all that apply)

American Indian or Alaska Native

Asian or Asian American

Black or African American

Latinx

Native Hawaiian or other Pacific Islander

White or Caucasian

Mixed Race

Other (please specify)

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* 4. Do you have any accessibility needs such as language translation or ADA accessibility to make your participation in Bike Works activities possible?

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* 5. Are you a military veteran?

Yes

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* 6. Sharing your birthdate helps us track our youth engagement efforts as well as assess our effectiveness at building a multigenerational community.

Birthdate

Date

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* 7. Which of the following best describes your socioeconomic experience? (More info about class distinctions here).

Underemployed/underpaid; basic living expenses might be impossible/difficult to obtain; unstable housing (20% of the U.S. population)

Employed with limited access to savings, benefits, or flexibility in hours or pay; generally living paycheck to paycheck; rental housing (40% of the U.S. population)

Depends on salary to pay bills, may have mortgage or education debt; access to college education; home ownership or rental (20% of the U.S. population)

Savings/investments may allow for early retirement; may receive or give inheritance; little to no debt; access to college education; managerial or professional employment; owning one or multiple homes (19% of the U.S. population)

Assets make full-time work optional; may receive or give large inheritance; no debt; access to prestigious education; managerial or professional employment; owning one or multiple homes or luxury homes (1% of the U.S. population)

Bike Works Community Survey

Demographic Info

Question Title

* 1. Gender Identity (check all that apply)

Question Title

* 2. Pronouns (check all that apply)

Question Title

* 3. Race/Ethnicity (check all that apply)

Question Title

* 4. Do you have any accessibility needs such as language translation or ADA accessibility to make your participation in Bike Works activities possible?

Question Title

* 5. Are you a military veteran?

Question Title

* 6. Sharing your birthdate helps us track our youth engagement efforts as well as assess our effectiveness at building a multigenerational community.

Question Title

* 7. Which of the following best describes your socioeconomic experience? (More info about class distinctions here).

Question Title

* 8. Zip code