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Please, check which one applies to you.
I have been already interviewed, I am filling the form to provide demographic information.
I have not been interviewed, but would like to participate in an interview or focus group.
If you are filling the form to be interviewed, please, provide us with an email so we can reach out!
What are your initials?
What is the name of your business?
What industry is your business in?
What year was your business founded?
Previous employment before entrepreneurship?
Have you founded a business before?
Yes
No
What is your age?
Under 18
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 - 74
75 - 84
85 or older
What gender do you identify with?
Male
Female
Other
What race do you identify with? Please select all that apply.
American Indian or Alaska Native
Asian
African American
White
Other
Are you hispanic, latino or spanish origin?
Yes
No
What is the highest degree or level of school you have completed?
Less than a high school diploma
High school degree or equivalent (e.g GED)
Associate degree (e.g AA,AS)
Bachelor degree (e.g BA,BS)
Masters degree (e.g MA,MA,MEd)
Doctorate or professional degree (e.g MD,DDS,PhD)
Some college, Incomplete degree
Are you an immigrant?
Yes
No
Prefer not to say
Have you ever been undocumented?
Yes
No
Prefer not to say
Have you ever been incarcerated?
Yes
No
Prefer not say
Anything else you would like to share that was not included in this survey? Please state here.
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