Donor Demographic Survey

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Name

What is your age? *

Under 18

18 - 24

25 - 34

35 - 44

45 - 55

56 - 65

66 - 75

76 - 85

Above 85

Prefer not to answer

In your own words, what is your gender identity? *

Are you of Hispanic, Latinx or Spanish origin? *

Yes

What’s your racial identification? *

White

Black or African American

Hispanic, Latinx, or Spanish origin

American Indian or Alaskan Native

Asian

Native Hawaian or Other Pacific Islander

Middle Eastern or North African (MENA)

Other

What is your income? *

$1 - $9,999

$10,000 - $24, 999

$25,000- 49,999

$50,000- 74,999

$75,000 - 99,999

$100,000 - 149,999

$150,000 - greater

Prefer not to answer

What is the highest degree or level of school you have completed? *

Less than a high school diploma

High school degree or equivalent (e.g. GED)

Some college, no degree

Associate degree (e.g. AA, AS)

Bachelor’s degree (e.g. BA, BS)

Master’s degree (e.g. MA, MS, MEd)

Professional degree (e.g. MD, DDS, DVM)

Doctorate (e.g. PhD, EdD)

Prefer not to answer

What is your current occupation? *

What is your marital status? *

Never married

Married or domestic partnership

Widowed

Divorced

Separated

Prefer not to answer

How many dependents do you currently have? *

6 or more

In the past 12 months how often have you given money to a charity? *

None at all in the past year

Once in the past year

At least 2-3 times in the past year

Once in a month

Once in a week

More than once in a week

How often in the past 12 months have you done volunteer work for a charity? *

None at all in the past year

Once in the past year

At least 2-3 times in the past year

Once in a month

Once in a week

More than once in a week

Other thoughts or comments

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