Workshop Demographic Survey, January - June 2018
Open Signal is committed to serving all members of our community. To ensure that we can meet this commitment, we need to collect data on who registers for our programs. The requested information is entirely voluntary, anonymous and confidential. We appreciate you taking the time to complete this form.
Workshop Title *
What is the name of the workshop for which you are completing this survey?
Your answer
Workshop Dates *
Please choose the month and year of the workshop
MM
/
DD
/
YYYY
To which gender do you identify with most? *
Select the race/ethnicity category you most identify with. *
Do you have a disability? *
Is English your first language? *
Select your age from the list below. *
What is your annual household income? *
Do you subscribe to broadband Internet and/or cable TV? *
Are you registering a youth who is either currently enrolled in Open School North or has been enrolled in the past, beginning in the fall of 2014? *
Required
To receive a discount on your next workshop visit https://opensignalpdx.eventbrite.com and enter the promotional code: Surprise-Survey-Savings at checkout!
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