1. Demographics

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1. What is your gender? (Required.)

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2. Which race/ethnicity best describes you? (Please choose only one.) (Required.)

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3. What is your marital status? (Required.)

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4. What is your level of education? (Required.)

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5. What is your household income? (Required.)

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6. How many children are you responsible for?

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7. How old are your children? (select all that apply) (Required.)

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