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CFR FY26 Board Demographic & Expertise Survey

CFR FY26 Board Demographic & Expertise Survey

Basic Information

Name(Required)

Board Role / Title(Required)

Organization / Employer(Required)

Primary Job Title(Required)

Identity Demographics

Gender Identity(Required)

Select all that apply.

Woman

Man

Genderqueer / Gender non-conforming

Transgender

Another identity (please specify)

Prefer not to say

Please specify your gender identity.(Required)

Sexual Identity(Required)

Select all that apply.

Heterosexual / Straight

Gay

Lesbian

Bisexual

Queer

Pansexual

Asexual

Another identity (please specify)

Prefer not to say

Please specify your sexual identity(Required)

Religious or Spiritual Identity(Required)

Select all that apply.

Buddhist

Catholic

Christian (non-denominational)

Episcopal

Hindu

Jewish

Muslim

Protestant

Spiritual but not religious

Atheist

Another identity or denomination (please specify)

Prefer not to say

Please specify your religious or spiritual identity(Required)

Birth Year(Required)

1930 – 1939

1940 – 1949

1950 – 1959

1960 – 1969

1970 – 1979

1989 – 1989

1990 – 1999

2000 – 209

Prefer not to say

Lived Experience

Disability Status(Required)

Developmental disability

Access and functional needs disability

Sensory disability

Chronic health condition

Neurodivergent

Another disability (please specify)

None

Prefer not to say

Please specify your disability status(Required)

Veteran Status(Required)

Active duty

Veteran – honorably discharged

Veteran – other discharge

Retired military

None

Prefer not to say

Geography

Location of Home Residence(Required)

City of Philadelphia

Philadelphia suburbs (PA)

New Jersey

Delaware

Other (please specify)

Please specify your location of home residence(Required)

Primary Work Location(Required)

City of Philadelphia

Philadelphia suburbs (PA)

New Jersey

Delaware

Fully remote / virtual

Retired

Other (please specify)

Please specify your primary work location(Required)

Education

Highest Level of Education Completed(Required)

High school / GED

College / university

Graduate School / professional school

Certificate program

Trade / technical program

Prefer not to say

Constituency & Connection to CFR

Have you or someone close to you directly benefited from therapy or behavioral health services (CFR or elsewhere)?(Required)

Yes

No

Prefer not to say

Are you an alumnus/a of any CFR education or training program?(Required)

Yes

No

Professional Experience

Professional Experience(Required)

Select all that apply.

Accounting / Finance

Arts / Culture

Banking / Investment

Business Owner / Entrepeneur

Community Leadership

Education

Executive Management

Fundraising / Development

Government / Public Policy

Law / Mediation / Dispute Resolution

Healthcare – Medical Provider

Healthcare – Behavioral Health or Mental Health

Human Resources

Nonprofit Leadership / Management

Personnel / Human Relations

PR / Marketing / Media / Communications

Recruiting / Talent / Search

Strategic Planning

Technology / Information Systems

Veteran / Military Experience

Real Estate / Facilities

Diversity, Equity, Inclusion, & Belonging

Legal Compliance

Communications / Writing / Training

Volunteer Leadership

Other (please specify)

Please specify your professional experience.(Required)

Board Capital, Influence, & Capacity

Rate each on a scale of 1–10 (10 = highest)

Connections to people or companies with philanthropic capacity(Required)

Please enter a number from 1 to 10.

Connections to people with influence(Required)

Please enter a number from 1 to 10.

Time available to support CFR(Required)

Please enter a number from 1 to 10.

Prior successful board experience(Required)

Please enter a number from 1 to 10.

Level of commitment to shared decision-making and governance(Required)

Please enter a number from 1 to 10.

Willingness to serve in a leadership role on a committee(Required)

Please enter a number from 1 to 10.

Willingness to serve in a leadership role on the Board(Required)

Please enter a number from 1 to 10.

Time and willingness to cultivate and steward donors(Required)

Please enter a number from 1 to 10.

Ability to contribute financially(Required)

Please enter a number from 1 to 10.

Willingness to give personally(Required)

Please enter a number from 1 to 10.

Ability to connect CFR to employers or partners who fund programs(Required)

Please enter a number from 1 to 10.

Optional Short Answer

Are there any identities, experiences, or perspectives you bring to CFR that you feel are important for us to understand?

Is there anything else you’d like to share that supports CFR’s mission, DEI commitments, or community engagement work?

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