Survey

American Indian or Alaska NativeAsian or Asian AmericanBlack or African AmericanHispanic or Latino/a/xMiddle Eastern or North AfricanNative Hawaiian or Pacific IslanderWhite or European AmericanMultiracial or Mixed HeritagePrefer not to AnswerOther
English is my primary languageSpanish is my primary languageI am bilingual (English & Spanish)I speak another language at homePrefer not to AnswerOther
WomanManNon-binaryGenderqueer or Gender-fluidTransgenderAgenderTwo-SpiritPrefer not to AnswerOther
18 – 2425 – 3435 – 4445 – 5455 – 6465 – 7475 or olderPrefer not to answer
Living paycheck to paycheckGetting by, but with little left overComfortable, with some savings or cushionFinancially secure or thrivingPrefer not to answer
I use a wheelchair or scooterI use a cane, walker, or other mobility aidI have a visual impairmentI have a hearing impairmentI have a cognitive or learning differenceI have a chronic illness or pain conditionOther
I use a wheelchair or scooterI use a cane, walker, or other mobility aidI have a visual impairmentI have a hearing impairmentI have a cognitive or learning differenceI have a chronic illness or pain conditionOther
YesNoNot sure yetPrefer not to answer
Please describe
Should be Empty: