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* 1. Please enter the information below:

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* 2. What is your gender?

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* 3. Choose one or more races/ethnicities you consider yourself to be. Check all that apply:

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* 4. How many helpful and safe adults do you have in your life right now?

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* 5. How many hours each WEEK do you usually help out in your community? (For example: volunteering,
picking up trash, assisting elders, helping friends make good choices, etc.)

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* 6. How many hours each WEEK do you usually spend out in nature?

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