* 1. Please provide your full name (First and Last)

* 2. Are you male or female?

* 3. Which category below includes your age?

* 4. Are you currently renting an apartment, room, or another living space?

* 5. How long have you been living at your current living space?

* 6. Do you own any pets? If yes, what kind

* 7. Do you smoke?

* 8. Do you currently have a full-time employment?

* 9. Please provide the name and contact number of your current landlord?

* 10. Please provide a phone number to schedule a phone interview with you?

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