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U.S. Demographics Template

1.In what state or U.S. territory do you live?
2.In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)
3.What is your gender?
4.Which category below includes your age?
5.Are you Mexican, Mexican-American, Chicano, Puerto Rican, Cuban, Cuban-American, or some other Spanish, Hispanic, or Latino group?
6.Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?
Current Progress,
0 of 6 answered