*Completion of this part is voluntary:

• Gender:
• Male

  Female

  Decline to Self Identify
• Ethnicity:
• Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

• Race:
• White - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
• Black or African American - A person having origins in any of the Black racial groups of Africa.
• Native Hawaiian or Other Pacific Islander - A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.