Demographic Survey

Thank you for participating in our optional survey!

As a not-for-profit organization, we are partially funded by grants from various funders.  Applications for many of these grants often require basic demographic information about the families we serve.  By supplying us with your information, you will help to potentially increase our funding, allowing us to better serve you by developing and refining our high-quality art & music programs.  We greatly appreciate your participation!

Your Name (optional)

1. What is your ethnicity?

If other:

2. What are the ages of the people within your household?
(insert number of people next to each age group)


Under 13
14-17
18-24
25-34
35-49
50-64
65+

3. Is anyone in your household disabled?
If yes, how many?

4. What is your highest level of education?

5. Who is your employer?

6. On a scale of 1-10 (1=low, 10=high) please rate your overall satisfaction with the David Adler Music and Arts Center.


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