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1. About You....
1
. I am a
I am a
Female
Male
2
. I am in the age range
I am in the age range
15 - 25
26 - 33
34 - 45
46 - 53
53 - 65
66 +
3
. I am currently
I am currently
A Student
Employed
Not Employed
Self Employed
Retired
Other
Other (please specify)
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