Tigrai Community of Colorado Census
This form is completely anonymous. Our strength is in our numbers, so please help us catalog that strength by filling out this census. This database will be used to have a better sense on the makeup of our community. To be completed by everyone 18 years old and above. Takes only 1-2 minutes to fill it out.
Gender
*
Female
Male
Non-binary
Age
*
18-24 years old
25-35 years old
36-49 years old
50+ years old
Zip Code
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Zip Code
*
Please Select
80010
80011
80012
80013
80014
80015
80016
80017
80018
80019
80045
80247
80022
80202
80220
80221
80222
80223
80224
80226
80227
80230
80231
80232
80233
80234
80235
80236
80237
80238
80239
80246
80247
80249
Other
Write in your Zip Code:
*
Marital status:
*
Single
Married
Divorced
Separated
Widowed
Immigration Status
*
U.S citizen
Permanent resident
Refugee/Asylum seeker
Temporary visa
Undocumented
I'd rather not share
Other
Please write in your immigration status:
*
Job status
*
Employed
Self employed
Unemployed
Occupation (If applicable)
Household annual income
*
Less than $20,000
$20,000 - $49,999
$50,000 - $99,999
More than $100,000
Do you have a second job?
*
Yes
No
How many total hours per week do you work?
*
Please Select
Less than 30
30
40
50
60+
Spouse's Gender:
*
Female
Male
Non-binary
Spouse's age:
*
18-24 years old
25-35 years old
36-49 years old
50+ years old
Spouse's Immigration Status
*
U.S citizen
Permanent resident
Refugee/Asylum seeker
Temporary visa
Undocumented
I'd rather not share
Other
Please write in spouse's immigration status:
*
Spouse's job status
*
Employed
Self employed
Unemployed
Spouse's occupation:
*
Does your spouse have a second job?
*
Yes
No
How many total hours per week does your spouse work?
*
Please Select
Less than 30
30
40
50
60+
Number of family members (under 18 years old) in the household: put zero if none
*
Number of family members who physically live in the household(above 18 years old) including the person filling this form)
*
Number of family members (under 18 years old) in the household:
*
Please Select
0
1
2
3
4
5+
Number of family members (above 18 years old) in the household, including the person filling this form:
*
Please Select
0
1
2
3
4
5+
Submit
Should be Empty: