SLIFF Demographics

Tell us about yourself. This information helps us secure grant funding.

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* 1. Your residential zip code/foreign country of residence:

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* 2. I reside outside the U.S. in (please list country)

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* 3. Gender:

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* 4. Age:

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* 5. Household Income:

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* 6. Education:

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* 7. Ethnicity

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* 8. Number in household

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* 9. Family Make-Up

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