Ethnicity Survey

Collect demographic data about your audience's ethnic background in a respectful, anonymous way. Useful for market studies, academic research and diversity and inclusion programs.

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What gender do you identify as?

Female Male Non-binary Other Prefer not to say

Please specify

What is your age?

Under 18 18–24 25–34 35–44 45–54 55–64 65 or older

Are you of Hispanic, Latino or Spanish origin?

Yes No Prefer not to say

Please specify

How would you best describe yourself?

White Black or African descent Asian Indigenous or Native American Pacific Islander Middle Eastern or North African Mixed or multiracial Other

Please specify

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