EIRF Survey
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1. SECTION I
Early Identification
1
. Youth Age:
Youth Age:
2
. Youth Gender:
Youth Gender:
Boy
Girl
Transgender
Other (please specify)
3
. Which group describes the youth?
Which group describes the youth?
AMERICAN INDIAN
BLACK
WHITE
NATIVE HAWAIIAN
HISPANIC OR LATINO
HISPANIC OR LATINO (Which group describes his/her Hispanic or Latino cultural/ethnic background)
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