Demographic Survey for Electrified Thermal Solutions (Completion is voluntary)

We invite you to complete this optional survey to help us evaluate our diversity and inclusion efforts. Submission of the information on this form is strictly voluntary and refusal to provide it will not subject you to any adverse treatment or affect your job application. Information obtained will be kept separate from your name or job application. This information will be kept secure and confidential and will be used solely to evaluate our diversity and inclusion efforts.

• What is your age range?
  • 17 or younger
  • 18-20
  • 21-29
  • 30-39
  • 40-49
  • 50-59
  • 60 or older
• I identify my ethnicity as

  Select all that apply

  • White / Caucasian
  • Hispanic, Latino, or Spanish origin
  • Black or African American
  • Asian
  • Native Hawaiian or other Pacific Islander
  • Indigenous Peoples, First Nations, Native American, or Alaska Native
  • Middle Eastern or North African
  • Some other race, ethnicity, or origin
• What gender do you identify as?
  • Female
  • Male
  • Non-binary
  • Transgender
  • Other
  • Prefer not to say
• Are you married
  • Yes
  • No
  • Prefer not to say
• How many children do you have?
  • None
  • 1
  • 2-4
  • More than 4
  • Prefer not to say
• What is your household income
  • Less than $25,000
  • $25,000 - $50,000
  • $50,000 - $100,000
  • $100,000 - $200,000
  • More than $200,000
  • Prefer not to say
• Which of the following describes your living status?
  • Homeowner
  • Renter
  • Lessee
  • Other
  • Prefer not to say
• Where were you born?
  • North America
  • Central America
  • South America
  • Europe
  • Africa
  • Asia
  • Australia
  • Pacific Islander
  • Caribbean Islands
  • Other
  • Prefer not to say
• Which languages are you capable of speaking fluently?

  Select all that apply

  • English
  • Mandarin
  • Hindi
  • Spanish
  • French
  • Arabic
  • Bengali
  • Russian
  • Portuguese
  • Indonesian
  • German
  • Japanese
  • Other
• If applicable, please specify your religion.
  • Judaism
  • Catholicism/Christianity
  • Islam
  • Buddhism
  • Hinduism
  • Agnostic
  • Atheist
  • Other
  • Prefer not to say