Question title

* Please sign in to the meeting by providing your name, email, phone number and address so the study team can document attendance and provide follow-up communication as needed. If multiple people are joining from your household, please include all names in the same text box, separated by commas.

The following demographic questions are optional. If multiple people are joining from your household, please select all the demographics that apply to you and those joining the meeting with you.

Question title

What is your gender?

Male
Female
Other
Prefer not to answer
Closed to responses

Question title

What is your age?

Under 18
18-25
26-35
36-45
46-55
56-65
66-75
Over 75
Prefer not to answer
Closed to responses

Question title

What is your race/ethnicity? (Select all that apply.)

White
55%
Prefer not to answer
45%
Other
18%
Black or African American
9%
Asian
9%
American Indian or Alaska Native
9%
Native Hawaiian or Other Pacific Islander
9%
Hispanic or Latino
9%
Closed to responses | 11 Responses

Question title

Are you a person with a disability?

No
82%
Prefer not to answer
27%
Yes
9%
Closed to responses | 11 Responses

CONTACT INFORMATION

Hotline: 385-787-7182

Email: 4500atwood@utah.gov