Hobbies & Interest Study #1275

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* 1. Contact Information:

First Name

Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Gender:

Male

Female

Non-binary

Other (please specify)

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* 3. Age:

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* 4. How would you describe your racial/ethnic background?

Caucasian

African American

Hispanic

Native Hawaiian or Pacific Islander

Native American or Native Alaskan

Hispanic/Latino

Other (please specify)

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* 5. Over the past year have you been involved with any charities or non-profit organizations not including school, religious organizations, or your place of worship?

Yes

No