It really isn't so hard.

We would like to ask you to share your race with us, to help us make sure all of our customers are being served fairly and honestly. This will not be shared with anyone making any decisions regarding the reason for your call, but will be shared, anonymized and in aggregate, with our management, ownership, and stockholders.

What racial or ethnic groups do you strongly identify yourself as am member of?_____________________________________________

Please feel free to use the back of the page if you've got a lot to say about this. Also, please feel free to skip this if it makes you uncomfortable, but we appreciate and value your input.