So have you seen the privilege meme that's going around?
Such as that one knows both of one's parents. And that they're together. And that they finished high school. And that one was not responsible for helping pay the bills as a teenager. And that one had a home. And got enough to eat. And attended college, whether or not one paid for it one's self.
If I were writing it, it would have things like, "Did you receive regular dental care and vaccinations as a child?" on it.