NAGC Member Survey Name of Organization Question Title * 1. Name of Organization Where are you located (city, state)? Question Title * 2. Where are you located (city, state)? Date Completed Question Title * 3. Date Completed Total Number of bereaved children served annually in 2013? Question Title * 4. Total Number of bereaved children served annually in 2013? Children under 10: Teens under 18: Young adults under 25: Adults over 25: What percentage of current bereaved youth served is represented by each of the following Racial/Ethnic groups? Question Title * 5. What percentage of current bereaved youth served is represented by each of the following Racial/Ethnic groups? American Indian or Alaskan Native: Asian: Black or African American: Hispanic/Latino: Caucasian: Native Hawaiian or Pacific Islander: Biracial or Multiracial: What percentage the children and teens you serve reside in the following areas? Question Title * 6. What percentage the children and teens you serve reside in the following areas? Suburban: Rural: Inner City: What percentage of the bereaved families you serve fall into each income level? Question Title * 7. What percentage of the bereaved families you serve fall into each income level? Under $30,000: $30,000 - $60,000: $60,000 - $120,000: $120,000 and up: How many volunteers do you have? Question Title * 8. How many volunteers do you have? Done