1. Demographics

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8% of survey complete.

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* 1. Your Age:

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* 2. Your Sex:

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* 3. Race:

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* 4. Household Type (Choose ONE):

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* 5. Number of people in your household (Choose ONE):

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* 6. Sources of household income (Check all that apply):

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* 7. Monthly household income (Choose ONE):

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* 8. Highest level of education in your household (Choose ONE):

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* 9. Please check the county you reside in:

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* 10. Is there a person in your household who is currently incarcerated?

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* 11. If YES to the above question, what is their relation to you?

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* 12. Is anyone in your household currently serving? or has served in the military?

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