Demographic Form

This is a quick survey so we can know a little bit about our readership. Haha. Actually, this is just a demo. The form below doesn't have any backend, so clicking submit doesn't do a darn thing.

Name Email Age

Do you identify as a gender other than the one you were assigned at birth?

Yes No

What is your gender?

What is your race or ethnicity? Check all that apply.

Black White Asian Native American Pacific Islander Latin@ Other:

Any questions?