Genetic sequencing questionnaire
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1
. how old are you?
how old are you?
younger than 13
13-20
21-30
31-40
41-50
51-60
older than 61
2
. What race would you describe yourself as?
What race would you describe yourself as?
white
african american
hispanic/latino
american indian/pacific islander
asian
Other (please specify)
3
. What is you level of education
What is you level of education
Current Middle school student (or earlier)
Current High School student
High School Graduate
College Graduate
Post Graduate degree
4
. what is the highest level you studied genetics or biology?
what is the highest level you studied genetics or biology?
middle school or earlier
high school biology class
high school biology class and genetics class
college biology and/or genetics class
beyond an undergraduate course
5
. Are you a parent?
Are you a parent?
yes
no
6
. Have you lost a family member under the age of 60 to illness or disease?
Have you lost a family member under the age of 60 to illness or disease?
yes
no
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