Background Information

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* 1. How long have you lived in Alva?

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* 2. Please select your age range:

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* 3. What is your gender?

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* 4. Which race/ethnicity do you identify with?

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* 5. Which of the following best describes your occupation?

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* 6. If you have children 18 or under currently living in your home, what age(s) are they? (check all that apply)

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