Demographics

What is your gender?

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* 1. What is your gender?

Which of the following age ranges do you fall into?

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* 2. Which of the following age ranges do you fall into?

Do you live alone?

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* 3. Do you live alone?

Does someone provide transportation?

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* 4. Does someone provide transportation?

Do you drive?

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* 5. Do you drive?

 

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