Demographic Survey for Sheertex

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
• Which of the following do you identify most with? Please use the comment box if you feel that your identity has not been captured in the list below.

  Select all that apply

  • Caucasian (White) - North American
  • Caucasian (White) - Western European (e.g. Dutch, German, French)
  • Caucasian (White) - Eastern European (e.g. Polish, Serbian, Russian)
  • Caucasian (White) - African (e.g. South African, Namibian)
  • Caucasian (White) - Other
  • Asian - East Asian (including Chinese, Japanese, Korean, and Mongolian)
  • Asian - West Asian (e.g. Uzbek, Turkmen, Kazakh)
  • Asian - South Asian (including Bangladeshi, Bhutanese, Indian, Nepali, Pakistani, and Sri Lankan)
  • Asian - Southeast Asian (including Burmese, Cambodian, Filipino, Hmong, Indonesian, Laotian, Malaysian, Mien, Singaporean, Thai, and Vietnamese)
  • Asian - North American
  • Asian - European
  • Asian - Other
  • Black - African (e.g. Nigerian, Kenyan, Moroccan)
  • Black - Caribbean (e.g. Grenadian, Jamaican, Trinidadian, Haitian)
  • Black - North American
  • Black - South or Central American (e.g. Brazilian, Argentinian, Peruvian)
  • Black - European
  • Black - Other
  • Latin / Hispanic - Caribbean (e.g. Cuban, Dominican)
  • Latin / Hispanic - Central American (e.g. Honduran, Guatemalan)
  • Latin / Hispanic - European (e.g. Spanish, Portuguese)
  • Latin / Hispanic - North American
  • Latin / Hispanic - South American (e.g. Brazilian, Argentinian)
  • Latin / Hispanic - Other
  • Middle Eastern - (e.g. Syrian, Lebanese)
  • Middle Eastern - North African (e.g. Libyan, Moroccan)
  • Middle Eastern - West Asia (e.g. Iranian, Afghani)
  • Middle Eastern - North American
  • Middle Eastern - European
  • Middle Eastern - Other
  • Indigenous - First Nations
  • Indigenous - Inuit
  • Indigenous - Metis
  • Indigenous - Mixed Race
  • Indigenous - Other
  • Jewish - Ashkenazi
  • Jewish - Sephardi
  • Jewish - Other
  • Mixed Race
  • Prefer not to say
• What gender do you identify as?
  • Female
  • Male
  • Non-Binary
  • Two-Spirit
  • Prefer not to say
  • Unsure