How are we Doing?

Please take a few minutes to take this short survey to let us know how we are doing, what we can do to improve our services, and any other input or suggestions you may have to share.

Remember that all of your answers are private and confidential.

Your voice matters.

Question Title

* 1. What is your age?

under 18

18-26

27-35

36-45

46-54

55 and over

I prefer not to answer

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* 2. What is your gender?

Female

Male

Non-binary/third gender

I prefer not to answer

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* 3. What town do you live in?

Aquinnah

Chilmark

Edgartown

Oak Bluffs

Vineyard Haven

West Tisbury

I prefer not to answer

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* 4. Which race/ethnicity best describes you?

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

Hispanic

White / Caucasian

I prefer not to answer

Multiple ethnicity / Other (please specify)

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* 5. What language do you mainly speak at home?

English

Brazilian-Portuguese

Portuguese

Spanish

I prefer not to answer

Some other language

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* 6. Have you or a loved one received services and/or participated in programs through MVCS?

Yes