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* 1. Name

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* 2. Are you male or female?

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* 3. In what state or U.S. territory do you live?

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* 4. What is your military/veteran status?

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* 5. In what branch of the military did you serve?

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* 6. What is the highest level of school you have completed or the highest degree you have received?

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* 7. What is your race/ethnicity?

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