Survey Form
School Code
Grade
Gender Identity
Agender
Female
Male
Transgender
Prefer Not to Answer
Prefer to Define
Religion
Christian
Hindu
Jewish
Muslim
Non-Mainstream Religion(i.e. Polytheism,Wiccan)
No Religion
Questioning
Sikh
Prefer Not to Answer
Prefer to Define
Race/Ethnicity
(Please select all that apply)
Asian
Biracial or Multiracial
Black/African
Hispanic/Latinx
Middle Eastern
Native American
Pacific Islander
White/Caucasian
Prefer Not to Answer
Prefer to Define
Sexual Orientation
Bisexual
Gay
Lesbian
Pansexual
Questioning
Straight
Prefer Not to Answer
Prefer to Define
Submit
