Demographic Survey
Why do we collect this information?
We want our programs to be inclusive so that supporters of diverse backgrounds around the region feel welcome and empowered to transform the places they live. Collecting this information helps us determine whether the things we do are effective at reaching that goal.
Learn more
.
Check this box to make my answer anonymous. (Read our
privacy policy
.)
First Name
Last Name
Email Address
Source
What is your gender identity? (Select all that apply.)
Woman
Man
Non-binary
Gender non-conforming
Trans
Prefer not to say
Prefer to self-describe (please specify below)
Are you of Hispanic, Latino/Latinx, or Spanish origin?
I am
not
of Hispanic, Latino/Latinx, or Spanish origin
Mexican, Mexican-American, Chicano
Puerto Rican
Cuban
Some other Hispanic, Latino
/Latinx
, or Spanish origin (please specify below)
What is your race?
American Indian, Alaska Native, or Indigenous
Asian Indian
Black or African American
Chamorro
Chinese
Filipino
Japanese
Korean
Native Hawaiian
Samoan
Vietnamese
White
Other Asian
Other Pacific Islander
Some other race
We use the question on race from the 2020 Census because we want to be able to compare information to regional data. But, we know it's not perfect. In your own words, please describe your race below.
What is your birth year?
(
Please use
yyyy format.
)
How do you feel about riding a bike?
I am fearless and will ride anywhere.
I am a confident rider, in most places.
I am interested in riding, but have some concerns.
No way, no how: I am not interested in riding.
Contact Information