UNC NEUROLOGY IN NUMBERS Question Title * 1. Which category best describes you? Select all that apply Asian or Asian American Black or African American Hispanic or Latino Middle Eastern or North African Native American Indian or Alaska Native Native Hawaiian or other Pacific Islander White or Caucasian Prefer not to answer Other, Self describe below Question Title * 2. What is your age group? 18-24 25-34 35-44 45-54 55-64 65+ Prefer not to answer Question Title * 3. What is your current gender identity? Man Woman Transgender Genderqueer Nonbinary Prefer not to disclose Other, Self-describe below: Question Title * 4. Do you identify with any of the following religions? (Select all that apply.) Christianity (Catholic, Protestant or any other Christian denominations) Buddhism Hinduism Islam Judaism Native American Sikh No religion Prefer not to answer Any other religion (Self-describe below) Question Title * 5. Are you a person living with a disability? Yes No Prefer not to answer Question Title * 6. Are you a parent or caretaker of children? Yes No Prefer not to answer Question Title * 7. Are you a caretaker of adults? Yes No Prefer not to answer Question Title * 8. Do you consider yourself a first generation college graduate? Yes No Prefer not to answer Question Title * 9. Have you ever served on active duty in the U.S. Armed Forces (includes activation from the Reserves or National Guard)? Yes No Prefer not to answer Question Title * 10. What is your official employment title? You may opt out of answering this question if you are not comfortable Done