Houston Community Census Survey (HCCS)
This survey is to determine the demographics of our community. Everyone in the Houston community is requested to participate in HCCS. Parents are requested to fill the HCCS for each of their minors/children.
Gender *
First Name *
Last Name *
Age *
Cell # *
(For minors, please enter "C/O " with parents' cell#)
Email address *
(For minors, please enter "C/O " with parents' email address)
Occupation / Profession *
Where did you hear about the survey? *
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