Consumer Health Literacy Survey Question Title * 1. What is your zip code? Question Title * 2. Are you male or female? Male Female Prefer not to say Other (please specify) Question Title * 3. What is your age? 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+ Question Title * 4. How do you identify yourself? Hispanic / Latino White Black / African American Asian American Indian or Alaska Native: List Tribe(s) in "Other" section Native Hawaiian or Pacific Islander Other (please specify) Question Title * 5. What is the primary language spoken at home? English Spanish Other (please specify) Question Title * 6. What is the highest level of education you have completed? Less than High School Some High School GED or High School equivalency High School graduate Vocational trade or business school after high school College: less than 2 years College Associate's degree (A.A. or A.S.) College: 2 or more years, no degree College graduate (B.A. or B.S.) Post graduate, no degree Post graduate degree (M.A., M.S., Ph.D., M.D., etc.) Other (please specify) Next