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Page 1
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1
. What is your age?
What is your age?
19 or under
20 to 39
40 to 59
60 to 69
70 to 79
80 or older
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2
. What is your gender?
What is your gender?
Male
Female
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3
. What is your primary ethnicity?
What is your primary ethnicity?
White / Caucasian
African-American
Hispanic or Latino
Asian
Native American
Other
Prefer not to say
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4
. What town or community do you live in?
What town or community do you live in?
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