Demographics

 

Survey respondent demographics.

* 1. What county do you live in?

* 2. Are you male or female?

* 3. How old are you?

* 4. How would you describe yourself? Check all that apply.

* 5. Do you consider yourself to be mainly of Spanish, Hispanic, or Latino heritage?

* 6. If you answered yes to the question above, what country do you come from?

* 7. Are you currently employed either full or part-time?

* 8. If you answered no, why are you not currently working either full or part-time?

* 9. Please check any of the places that you have ever worked at or currently work:

* 10. Are you employed in the medical or dental field with the authority to prescribe medication?

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