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General Interest Questions


Demographic Survey for Trusted Health

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 and job application. This information will be kept secure and confidential and will be used solely to evaluate our diversity and inclusion efforts.

  • Which category below includes your age?
  • Which most closely describes your gender?
  • Do you identify as LGBTQ+
  • What are your racial, ethnic, and origin identities?

    Please select all that apply with which you identify.

  • Are you or have you served in the military?
  • If you answered yes in the previous question, which branch do/did you serve?
  • What is the highest level of school you have completed or the highest degree you have received?