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Tutor Monthly Report

Tutor Demographic Information

20% of survey complete.

California Library Literacy Services (CLLS) has expanded the demographic categories it will use to collect information in its annual report. This information lets us know how well our program serves different groups in our community.

All questions are confidential. Please take a few moments to fill out the survey below and skip any questions that you do not want to answer. It is no problem, and it is always your choice. We appreciate your responses!

Please ignore if you have already submitted your answers.

Question Title

* What gender do you identify as?

A man

A woman

Non-binary or genderqueer

Not sure

I prefer not to answer this question

I prefer the term:

Question Title

* Are you of Hispanic, Latinx, or Spanish origin?

No, not of Hispanic, Latinx, or Spanish origin

Yes, Mexican, Mexican American, Chicanx

Yes, Puerto Rican

Yes, Cuban

Yes, another Hispanic, Latinx, or Spanish Origin

Question Title

* What is your race? Please select as many responses as you like.

White

Black or African American

American Indian or Alaska Native

Chinese

Filipino

Asian Indian

Vietnamese

Korean

Japanese

Other Asian

Native Hawaiian

Samoan

Chamorro

Other Pacific Islander

Some other race or origin