Community Steering Survey

Thank you so much for participating! First, please tell us a little about you.

 
1. What is your age?
2. What is your approximate average household income?
3. Which race/ethnicity best describes you? (Please choose only one.)
4. How many children, by age, currently live in your household? Type the number of children of that age in the text box. If you have no children living with you, you can skip this question.
5. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)
6. Are you a Member of Sci-Port?
7. Are you a Sci-Port Donor?
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