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PFAC Member Diversity Survey
1.
Your Name (First and Last)
2.
Home Address (Full Mailing Address)
3.
Phone Number
4.
Email
5.
I identify my gender as:
6.
Please indicate your age range:
18-25
26-39
40-55
56-64
65-75
76+
7.
Please tell us if you self-identify with any of the following:
Member of Indigenous communities
Individuals from northern, rural, remote communities
Francophones
People who speak English as their second language
Newcomer (An immigrant or refugee who has been in Canada for a short time, usually less than 3 or 5 years)
2SLGBTQIAA+ communities
Racialized community
Ethnic and/or culture groups
Individuals or families from lower income households
A person with a disability or accessibility challenge
8.
What is the highest degree or level of school you have completed?
No certificate, diploma or degree
Elementary school graduate
High school graduate, diploma or equivalent (for example: GED)
Postsecondary qualification (for example: college, university or trades certificate)
Graduate or professional education
9.
Which of the following best describes the type of community that you live in?
Rural (population less than 1,000 people)
Small (1,000 to 29,999)
Mid-sized (30,000 to 99,999)
Large (100,000+)
Current Progress,
0 of 9 answered