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Screening Survey
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* Indicates required question
Your Name:
*
Your answer
Your CU Boulder Email:
*
Your answer
Are you a current CU Boulder student? Or have you been a CU Boulder student within the past 6 months?
*
Yes
No
In the past 6 months have you attended in-person classes, in-person work, or in-person activities on CU Boulder campus regularly?
*
Yes
No
What was your academic class standing during this past (2023-2024) Academic Year?
*
Undergraduate: 1st Year
Undergraduate: 2nd Year
Undergraduate: 3rd Year
Undergraduate: 4th+ Year
Graduate: 1st-2nd Year
Graduate: 3rd+ Year
Other:
What is your race/ethnicity? (check all that apply)
Asian
Black or African American
Hawaiian Native or Pacific Islander
Hispanic, Latinx, or Spanish Origin
White
Prefer not to answer
Other:
What is your gender identity?
Female
Male
Prefer not to answer
Other:
Clear selection
What is your age?
<18
18-22
23-29
30-40
41+
Prefer not to answer
Clear selection
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