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Home » Demographic Survey

Demographic Survey

Portland Community Media is committed to serving all members of our community. To ensure that we can meet this commitment, we need to collect data on participants in our programs. The requested information is entirely voluntary, anonymous and confidential.

Gender

Male

Female

Prefer not to answer

Race / Ethnicity

White/Caucasian - Origins in any of the original peoples of Europe, North Africa or the Middle East; not Hispanic

Black/African-American - Origins in any of the Black racial groups of Africa; not of Hispanic origin

Asian/Pacific Islander, Hawaiian - Origins in any of the original peoples of the Far East, Southeast Asia, Indian subcontinent of the Pacific Islands; e.g., China, Japan, Korea, Philippine Islands, Samoa, Hawaii

American Indian, Alaskan Native/Aleut Eskimo - Origins in any of the original indigenous peoples of North American and who maintains cultural identification through tribal affiliation/recognition

Hispanic/Latino(a) - Mexican, Puerto Rican, Cuban, Central/South American or other Spanish culture or origin regardless of race

Bi-Racial/Multi-Racial

Disability

Yes

Primary Language

English

Other

Age Group

under 20

20-29

30-39

40-49

50-59

60 o r over

Annual household income

less than $20,000

$20,0001 to $30,000

30,001 to $40,000

40,001 to $50,000

over $50,000

Access to Information Technology

Subscribe to cable television

Subscribe to broadband internet service

Subscribe to both broadband Internet and Cable Television

Other service (DishTV, DirectTV, FiOS TV, etc)

None of the above

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Math question * 2 + 2 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

Category:

Surveys

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