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* 1. Are you male or female?

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* 2. Which category below includes your age?

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* 3. Are you now married, widowed, divorced, separated, or never married?

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

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* 5. Which of the following categories best describes your employment status?

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* 6. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?

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