Anonymous Membership Demographics Survey

Question Title

* 1. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?

White

Black or African-American

American Indian or Alaskan Native

Asian

Native Hawaiian or other Pacific Islander

From multiple races

Some other race (please specify)

Question Title

* 2. Are you of Spanish, Hispanic or Latino origin or descent?

No, not Spanish/Hispanic/Latino

Yes, Puerto Rican

Yes, Mexican, Mexican American, Chicano

Yes, Cuban

Yes, other Spanish/Hispanic/Latino

Question Title

* 3. Have you ever served in any branch of the United States military, or not?

Yes, I have

No, I have not

Question Title

* 4. What is your gender?

Female

Male

Non-Binary

Prefer not to Answer

Question Title

* 5. How many people living in your household are currently 65 years or older?

Question Title

* 6. What is your approximate average household income?

$0-$24,999

$25,000-$49,999

$50,000-$74,999

$75,000-$99,999

$100,000-$124,999

$125,000-$149,999

$150,000-$174,999

$175,000-$199,999

$200,000 and up

Question Title

* 7. What is your occupation?

Question Title

* 8. Some major employers ask us to tell them how many members we have working for them. Please list any major employers for any members living in your household.