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Impact100 DC Member Demographic Survey

Impact100 DC was created with an express goal of building an inclusive and diverse community across the many demographic divides in the Washington DC area. In order to achieve this goal, we need to assess where we are. To that end, we hope all members will complete the form below.

We will never share this information. We are gathering this information only to learn more about our members & to measure our progress in building a diverse organization.

Thank you in advance for your assistance!

Contact Information

Personal Demographics

Check all that apply.
Select the range that applies

Please put the month and day (ex: 04-22 for April 22)
Annual household income

Note: This can be paid or unpaid work. If not currently working, please indicate your former and/or desired field of work. We are looking to learn our members' areas of interest and expertise.