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Demographic Survey for Gopuff

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
  • Prefer not to answer
• Which race(s) do you identify with? Please select all that apply.

  Select all that apply

  • Hispanic or Latinx
  • Black or African American
  • Asian
  • Pacific Islander
  • Native American
  • White
  • Middle Eastern
  • Prefer not to answer
• What is your gender identity?
  • Woman
  • Man
  • Non-binary
  • Prefer not to answer
• Do you identify as LGBTQ+?
  • Yes
  • No
  • Not sure
  • Prefer not to answer
• What are your pronouns?
  • They/Them
  • She/Her
  • He/Him
  • Prefer not to answer
• Are you a veteran?
  • I identify as a U.S. veteran
  • I am not a U.S. veteran
  • Prefer not to answer
• Do you have a disability?

  Can be "a physical or mental condition that substantially limits a major life activity (such as walking, talking, seeing, hearing, or learning, or operation of a major bodily function)."

  • Yes, I have a disability, or have a history/record of having a disability
  • No, I do not have a disability, or have a history/record of having a disability
  • Prefer not to answer

• By applying for this position, your data will be processed as per Gopuff Privacy Policy.