Exit Diversity Template Question Title * 1. What is your gender identity? Woman Man Genderqueer or non-binary Agender Not specified above, please specify Question Title * 2. Do you identify as transgender (or another non-cisgender identity)? Yes No Question Title * 3. What is your sexual orientation? Asexual Bisexual Gay Heterosexual or straight Lesbian Pansexual Queer None of the above, please specify Question Title * 4. What is your racial or ethnic identity? (Select all that apply.) African-American/Black East Asian Hispanic/Latinx Middle Eastern American Indian/Alaskan Native Pacific Islander South Asian Southeast Asian White None of the above, please specify... Question Title * 5. Are you a person living with a disability? Yes No Question Title * 6. How old are you? Question Title * 7. Is english your first language? Yes No Question Title * 8. What language(s) do you speak at home? Question Title * 9. Do you identify with any of the following religions? (Please select all that apply.) Protestantism Catholicism Christianity Judaism Islam Buddhism Hinduism Native American Inter/Non-denominational No religion Other (please specify) Question Title * 10. Are you a parent or caretaker of children? Yes No Question Title * 11. Are you a caretaker of adults? Yes No Question Title * 12. Do you consider yourself a first generation college graduate? Yes No Question Title * 13. Have you ever served on active duty in the U.S. Armed Forces (includes activation from the Reserves or National Guard)? Yes No Question Title * 14. Is your role in science, technology, engineering or math (STEM)? Yes No Done