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* 1. How old are you?

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* 2. What is the highest level of school you have completed or the highest degree you have received?

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* 3. Which of the following categories best describes how you identify yourself? (Check all that apply)

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* 4. What best describes your household income?

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* 5. What is your current marital/dating status?

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* 6. Do you have or plan to have children?

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* 7. How do you like to spend your free time? (Check all that apply)

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* 8. In the last 3 - 4 months (answer a & b)

A) What issue or concern has kept you up at night? Check all that apply.

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* 9. What are you willing to invest? (answer a & b)

A) If you could receive support in one area of your life right now, what would it look like?
B) If money wasn’t an option, how could I best support you?

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* 10. Describe your social media habits (answer a, b & c).

A) What three websites do you visit most frequently?
B) What magazines do you read?
C) How do you prefer to receive information (in person, Facebook, Twitter, Pinterest, books, audio, etc…)?

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