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* 1. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 2. What is your age?

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* 3. What is your gender?

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* 4. What is your ethnicity? (Please select all that apply.)

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* 5. What is your total household income?

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* 6. Which of the following best describes you?

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