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* 1. Enter your zip code here:

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* 2. Sex:

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* 3. Age:

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* 4. Marital Status:

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* 5. Education:

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* 6. Place of Residence: Do You?

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* 7. If residence is owned by you, please give an approximate value:

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* 8. How many children do you have?

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* 9. How old is the oldest child?

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* 10. Do any of your children show an interest in riding motorcycles?

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* 11. What is your occupation?

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* 12. Gross household income before taxes?

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* 13. Do you drink alcoholic beverages?

T