Community & Children/Youth About You Thank you for sharing your thoughts by completing this survey. If you'd like to be entered into a drawing to win a prize, please answer all the questions and then enter your email address and/or phone number so we can let you know if you win! Question Title * 1. What is your zip code? Question Title * 2. What is your race/ethnicity? Please mark all that apply. African American African National/Carribean Islander Asian Hispanic/Latino Multi-racial Native American/Alaskan Native Native Hawaiian/Pacific Islander Prefer not to answer White Other (please specify) Question Title * 3. How old are you? 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Next
