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Please tell us about your experience by completing this Commonwealth Cyber Initiative (CCI) survey. Your identity will remain anonymous. Thank you for your participation.

Which category below includes your age?

17 or younger

18-22

23-29

30-39

40-49

50-59

60 or older

I prefer not to say

Which categories best describe you (select all that apply):

Black or African American

American Indian or Alaskan Native

Asian

Native Hawaiian or other Pacific Islander

White

I prefer not to say

Not listed. Please describe:

I identify my ethnicity as (select all that apply):

Hispanic or Latino/Latina

Not Hispanic or Latino/Latina

I prefer not to say

What is your gender?

Female

Male

Non-Binary or Non-Conforming

Transgender

I prefer not to say

Not listed. Please describe.

What is your current level as a student?

I am seeking my high school diploma

I am seeking my undergraduate degree

I am seeking my graduate degree

I am seeking my associates degree

Are you a first-generation college student? (A first-generation college student is a college student both of whose parents did not complete a bachelor’s degree, or in the case of students who live with and are supported by only one parent, a student whose only such parent did not complete a bachelor’s degree.)

Yes

No

I prefer not to say

Please enter your university or college affiliation. If you prefer not to say, please enter, "N/A".

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