University of Akron Cycling Club
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1. Demographic Information
1
. Please provide your contact information. (optional)
Please provide your contact information. (optional)
Street:
City/Town:
ZIP/Postal Code:
Email Address:
Phone Number:
2
. How would you describe yourself?
How would you describe yourself?
Student part time
Student full time
University employee part time
University employee full time
Community member
Other (please specify)
3
. What is your age?
What is your age?
18 - 21
21 - 25
25 - 30
30 - 40
40 - 50
50 - 60
60 - 70
70+
4
. What is your gender?
What is your gender?
Male
Female
5
. Where do you live?
Where do you live?
Residence Hall
On campus
Off campus (less than 3 miles away)
Off campus (more than 3 miles away)
6
. What is your income level?
What is your income level?
I'm a student
$19,000 or under
$20,000-$29,000
$30,000-$39,000
$40,000-$49,000
$50,000-$59,000
$60,000-$69,000
$70,000-$79,000
$80,000-$89,000
$90,000-$99,000
$100,000-$149,000
$150,000 and over
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