What is your zipcode?

Which City of Austin district do you live in?

City of Austin District Map
District 1
District 2
District 3
District 4
District 5
District 6
District 7
District 8
District 9
District 10
I'm not sure / prefer not to say
I don't live in the City of Austin
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What is your age? Enter your age in years.

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What is your race or ethnicity? Please select all that apply.

American Indian or Alaska Native or Indigenous
Asian or Asian American
Black or African American
Hispanic or Latina/o/e/x or of Spanish origin
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
I prefer to self-identify
Closed to responses

What is your current gender identity? Select all that apply.

Female or Woman
Male or Man
Non-binary
Trans Female or Woman
Trans Male or Man
Two-Spirit [if of American Indian or Alaska Native or Indigenous background]
I prefer not to answer.
I prefer to self-identify.
Closed to responses

Which of the following best represents how you think of yourself and your sexual orientation? Please select one.

Gay
Lesbian
Bisexual
Two-Spirit (if of Native American or Alaska Native or Indigenous background)
Straight or heterosexual
I prefer to self-identify
I prefer not to answer
Closed to responses

Are there communities in Austin that you feel connected to or part of? (for example: groups you volunteer with, culturally-based groups, religious groups, interests or hobby groups, etc.)

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