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1. Tell Us About Yourself

The purpose of this survey is to improve New Mobility's content. Your personal information will not be shared outside of our organization. Estimated time to complete the survey: 15 minutes. Thank you for your input!

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* 1. Please indicate your age range:

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* 2. Please indicate your gender:

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* 3. How would you describe yourself?

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* 4. What is your annual household income? (Include all family members)

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* 5. What is your highest level of education?

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* 6. What is your employment status?

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* 7. What employment barriers cause you difficulty? (Choose up to 3)

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* 8. Which of the following best describes you?

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* 9. Which of the following do you use? (check all that apply)

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* 10. How many years since the onset of your disability?

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* 11. Please indicate the nature of your disability: (check all that apply)

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* 12. Are you a member of any disability organizations?

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* 13. Are you a veteran?

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* 14. Do you have a service animal?

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* 15. New Mobility celebrates diversity and wants to understand the complexity of our readers' lives. Please use this space to include anything we didn't ask about but that you'd like us to know about your background.

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