(OPTIONAL) We are committed to engaging all of Bellevue's diverse communities. Please fill out the following optional demographic information to help us learn how we can improve our outreach. What neighborhood do you live in? - None -Bel-RedBridle TrailsCrossroadsCougan Mountain/LakemontDowntownEastgateFactoriaLake HillsNE BellevueNewportNW BellevueSomersetWest BellevueWest Lake SammamishWilburtonWoodbridgeI do not live in Bellevue, but work in BellevueI do not live or work in BellevueI do not know what neighborhood area I live inPrefer not to answer What is your age? - None -Under 1818-44 years old45-64 years old65 or olderPrefer not to answer Do you have a disability? - None -YesNoPrefer not to answer What is your race/ethnicity? (choose all that apply) American Indian or Alaska Native Asian Black/African American Hispanis, Latino, or Spanish origin Native Hawaiian or Pacific Islander White Prefer not to answer Not Listed (Please specify) Enter other… Languages spoken at home: (choose all that apply) American Sign Language (ASL) Chinese - Cantonese Chinese - Mandarin English French German Hindi Japanese Korean Russian Spanish Tamil Tegulu Urdu Vietnamese Prefer not to answer Not Listed (Please specify) Enter other… Does your family rent or own? Does your family rent or own? - None -RentOwnLiving with parents/grandparents/guardian/familyLiving with friendsCurrently without housingPrefer not to answerNot Listed (Please specify) Enter other… What type of housing do you live in? What type of housing do you live in? - None -Single-Family HouseApartment, Condominium or TownhouseCurrently without housingPrefer not to answerNot Listed (Please specify) Enter other… Gender identity (choose all that apply) Female Gender Neutral Intersex Male Queer Trans Prefer not to answer Not Listed (Please specify) Enter other… Please choose the sexual orientation you consider yourself to be. (choose all that apply) Asexual Bisexual Gay Lesbian Queer Straight Two or More of the Above Choices Not Listed (Please specify) Enter other…
