.
2030 Census
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
Start
Secured
Survio
Create a survey
1
Is person 1 of Hispanic, Latino, or Spanish origin?
Select 1 answer
Yes
No
2
If yes, indicate which ethnicity is most fitting (Mexican, Puerto Rican, Cuban, Ecuadoran, etc.)
3
What is person 1's race?
Select one or more answers
White
Black or African-American
American-Indian or Alaskan Native
Asian
Other (please specify)
4
Specify the answer from question 3 (country of origin), if applicable
Submit
Create a survey