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User feedback form

We’re interested in your feedback on websites and web-based services that we’re building at the ACLU. Feedback sessions may be remote, or may be in-person if you are located in NYC or the greater New York area. To ensure that we’re able to talk to a wide range of people, please answer a few questions below.

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What is your name? *

What city/state do you live in? *

How old are you? *

Under 18

18-24

25-34

35-44

45-54

55-64

65 or over

I prefer not to say

What gender do you identify as? *

Which of these categories describe you? (note: you may select more than one group) *

White

Hispanic, Latino, Spanish origin

Black, African American

Native American

Asian

Middle Eastern

Native Hawaiian, Pacific Islander

I prefer not to say

What is your primary way of accessing the internet? (note: you may select more than one) *

Mobile phone

Personal computer

Tablet

Public computer

School computer

In the last two years, have you been affected by one or more of the following issues?

Police misconduct

Protestors' rights

Immigrants' rights

Racial discrimination

Sex discrimination

LGBTQ discrimination

Voting rights

Disability rights

Students' rights

In the last year, check any of the following that you have done:

Started or joined a campaign

Marched at a rally

Donated to a cause you care about

Shared information about an issue on social media

Called an elected official

E-mail *

Phone number

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