Survey | Qualtrics Survey Software

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Thank you for agreeing to participate in our EC123 survey. You are being asked to participate in a survey about the Harlem Health Promotion Center’s website www.ec123.org. Your answers are anonymous and we will not trace your responses back to you or your computer. By answering the following set of questions, you will help us improve our website. Thanks for your time.

What is your gender?

Male
Female
Transgender ID as Male
Transgender ID as Female

How do you describe yourself? (Please check all that apply)

Asian American or Pacific Islander
American Indian
Black
Hispanic/Latino
White
Other

How old are you?

12 or younger
13-17
18-23
24-29
30 or older

Which of the following best describes the last grade or class you completed in school?

Currently in middle school or high school
Less than high school
High school graduate or GED
Some college
College graduate
Post-bacc or professional school graduate (i.e. MD, MPH, MSW, PhD, JD)

Do you currently work in a health-related field (i.e. (peer) health educator, doctor, nurse or counselor)?

Do you work with youth or young adults between the ages of 13 and 24 ?

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