FbTC Demographics 2019
You were an important part of one (or more) programs at Flashback last year! Thank you for your time and dedication to theater.

For many grants, we are asked to include demographic and diversity information. By filling this survey out honestly and completely, you will help us with funding requests and reporting. Your responses are entirely anonymous.
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What roles did you fill in 2019 for Flashback Theater? (select all that apply) *
Required
Has Flashback Theater affected you in a positive, negative, or neutral way in 2019? *
Select one.
I am _____________ years old.
Clear selection
I have been diagnosed with ___________________. *
 (Select all that apply. If no provided option applies, please use the other field to add the appropriate response.)
Required
I identify as ______________. *
(Select all that apply. If no provided option applies, please use the other field to add the appropriate response.)
Required
I identify as _______________. *
(Choose one. If no provided option applies, please use the other field to add the appropriate response.)
I identify as _____________________. *
 (Choose one. If no provided option applies, please use the other field to add the appropriate response.)
The following applies to my current household: *
Please select all that apply.
Required
My zip code is *
(Your zip code will help to show grant funders how far our geographic reach is. If you do not wish to provide a zip, please use 00000.)
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This form was created inside of Flashback Theater Co..