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What is your age?
   
 
 
 
What gender do you identify with?
   
 
 
 
What is your sexual preference?
   
 
 
 
Where were you born?
   
 
 
 
What social class are you associated with?
 
Lower Class
 
Middle Class
 
Upper Class
 
 
 
Would you consider yourself privlidged? 
 
 
 
Would you describe yourself as (Select all that apply): 
 
a) American Indian/Native American
 
b) Asian
 
c) Black/African American
 
d) Hispanic/Latino
 
e) White/Caucasian
 
f) Pacific Islander
 
g) Other

 
 
 
Do you think racism takes place in Salt Lake City?
   
 
 
 
Have you seen acts of racism take place in Salt Lake City?
   
 
 
 
Do you consider yourself accepting of diversity? 
 
yes
 
no