The City of Portland requests you voluntarily answer the demographic questions below. The City strives to cultivate equity, diversity, and inclusion. By providing the requested information, you help ensure Citywide trainings represent a broad cross-section of the community. You are under no legal obligation to provide this information. State and federal law prohibit the use of this information to discriminate against you. The City will treat this information as confidential to the fullest extent allowed by law.

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* Training Date, please always list as the first of the month of delivered training see example: Month/01/Year

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* 1. What is your age?

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* 2. Which of the following describes your racial or ethnic identity? Please Check all that apply.

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* 3. What is your primary spoken language?

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* 4. What other languages (if any) are spoken in your home?

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* 5. If you live with a disability or identify as a disabled person, please describe the nature of your disability. Please check all that apply, if none apply select "no known disability"

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* 6. What is your identified gender? Please check all that apply

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* 7. Which best describes your current housing? Pleas check all that apply

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* 8. If you WORK in the City of Portland please list the neighborhood you work in.

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* 9. If you LIVE in the City of Portland please list the neighborhood you live in.

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