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Therapy & Psychiatry
Individual Therapy
Couples Therapy
Family Therapy
Sex Therapy
Psychiatry
Low Cost Therapy Services
Relationship Checkup
Therapy & Support Groups
Workshops
Our Programs
Child, Adolescent & Family Services
Community Partnerships Initiative
Community Trauma Response
Older Adults Program
Operation Home & Healing
Transcending Trauma Project
Women’s Psychological Health Services
Professional Education
CE Workshops
Clinical Internship Program
Clinical Supervision
Congregational and Family Systems Academy
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Staff Demographic Survey FY26
Name
First
Last
Role Type
Clinical
Administrative / Staff
Dual Role (Clinical + Staff)
Job Title
Pronouns
She / Her
He / Him
They / Them
She / They
He / They
Another set of pronouns (please specify)
Prefer not to say
Select all that apply.
What pronouns do you use?
Identity Demographics
Select all that apply.
Gender Identity
Woman
Man
Non-binary
Genderqueer / Gender non-conforming
Transgender
Another identity (please specify)
Prefer not to say
What is your gender identity(s)?
Sexual Orientation
Heterosexual / Straight
Gay
Lesbian
Bisexual
Queer
Pansexual
Asexual
Another identity (please specify)
Prefer not to say
What is your sexual orientation(s)?
Race / Ethnicity
Black / African American
Latino/a/x, Hispanic, or Chicano/a
Asian or Asian American
Native American / Alaska Native
Native Hawaiian or Pacific Islander
Middle Eastern / North African
White or Caucasian
Multiracial / Biracial
Another identity (please specify)
Prefer not to say
What is your race or ethnicity?
Religious or Spiritual Identity
Buddhist
Catholic
Christian (non-denominational)
Episcopal
Hindu
Jewish
Muslim
Protestant
Spiritual but not religious
Atheist
Another identity (please specify)
Prefer not to say
What religious or spiritual identity do you hold?
Disability Status
Access & functional needs disability
Developmental disability
Sensory disability
Chronic health condition
Neurodivergent
Another disability (please specify)
None
Prefer not to say
What is your disability status?
Veteran Status
Active duty
Veteran - honorably discharged
Veteran - other discharge
Retired military
None
Prefer not to say
Age Range
18-24
25-34
35-44
45-54
55-64
65+
Geography
Home Location
City of Philadelphia
Philadelphia suburbs (PA)
New Jersey
Delaware
Other (please specify)
Prefer not to say
What is your home location(s)?
Education
Highest Level of Education Completed
High school / GED
Associate's degree
Bachelor's degree
Master's degree
Doctoral degree
Professional license or certificate
Trade or technical program
Prefer not to say
Optional Open Response
Are there any identities, experiences, or perspectives you bring to CFR that you feel are important for us to understand?
