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Anonymous Demographic Survey Form Template

Create insightful reports with our anonymous demographic survey form template

Finding accurate audience information can be tough, but our anonymous demographic survey form template simplifies the process for you. This template is perfect for researchers, marketers, and event planners who want to gather valuable insights on age, gender, and usage habits while respecting participant privacy. With features that ensure anonymity, easy-to-analyze results, customizable fields, and WCAG-aligned design for accessibility, it helps you collect data effortlessly. Try the live template and see how it works for you.

What is your age group?
Under 18
18-24
25-34
35-44
45-54
55-64
65+
Which of the following best describes your gender identity?
Woman
Man
Non-binary
Prefer to self-describe
Prefer not to say
If you prefer to self-describe your gender, please write it here (optional).
Which of the following describe your sexual orientation? Select all that apply.
If you prefer to self-describe your sexual orientation, please write it here (optional).
Which race or ethnicity do you identify with? Select all that apply.
If you prefer to self-describe your race or ethnicity, please write it here (optional).
Do you identify as a person with a disability?
Yes
No
Prefer not to say
Which of the following disability or health conditions apply to you? Select all that apply (if applicable).
Please Specify:
Have you served in the military (armed forces)?
Yes
No
Prefer not to say
What is the highest level of education you have completed?
What is your current employment status?
What is your total annual household income?
Under 25,000
25,000 - 49,999
50,000 - 74,999
75,000 - 99,999
100,000 - 149,999
150,000 - 199,999
200,000 or more
Prefer not to say
What country do you currently live in?
What primary language(s) are spoken at home? (optional)
How many people live in your household, including you?
1
2
3
4
5
6 or more
Prefer not to say
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Paper art illustration depicting a demographic survey form with various sections for user input and response options.

When to use this form

Use this anonymous form when you need baseline data about who you are reaching without collecting names or emails. It helps schools, nonprofits, HR teams, and product managers spot gaps, improve inclusion, and measure change over time. Example: audit a pilot program to see if older adults and multilingual families are represented, or evaluate a feature launch across age and education groups. Pair it with the Political survey form to compare opinions by group while protecting privacy. Researchers can combine it with the Personality research form to study how traits vary by cohort. Community organizers can align results with the Political canvassing debriefing form to refine neighborhoods and messages for future outreach.

Must Ask Anonymous Demographic Survey Questions

  1. What is your age range?

    Age brackets protect privacy while showing cohort trends. You can tailor messaging and channels to where each age group engages most.

  2. Which of the following best describes your gender identity?

    Inclusive, multi-select options (with prefer not to say) build trust and reduce drop-off. They help you design services that reflect everyone who responds.

  3. Which race or ethnicity do you identify with? (Select all that apply)

    Multi-select respects multiracial identities and improves accuracy. It enables equity tracking and more relevant outreach.

  4. What is the highest level of education you have completed?

    Education level is a strong signal of content needs and comprehension. Use it to set reading level, training depth, and support formats.

  5. What is your country or region of residence?

    Coarse location reveals reach and service gaps without collecting addresses. If you need to randomly select participants for follow-up by region, use the Generate random number form.

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