Thank you for your participation in this survey, we appreciate your feedback and time. Your responses will assist us in future planning and outreach activities across the state. 

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* 1. What is your age?

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* 2. What is your gender?

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* 3. What is your race or ethnicity?

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* 5. Are you an individual with a disability?  

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* 6. If yes, what type of disability do you identify with?

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* 7. Please identify how you are representing yourself in answering the survey

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