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* 1. What is your age?

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* 2. What is your gender?

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* 3. What is the highest degree or level of school you have completed? (If currently enrolled, highest degree received.)

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* 4. What is your religious affiliation?

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* 5. Do you feel that anti-Semitism in on the rise?

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* 6. If you or a family member have experienced anti-Semitism please describe the incident.

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* 7. Did you tell anyone (i.e. family, friend) or report the incident to an organization? (i.e. police, ADL)

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* 8. Would you be interested in participating in a further discussion regarding anti-Semitism?

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* 9. How do you most often access news and entertainment?

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* 10. Please provide your email to receive a digital copy of Oregon Jewish Life monthly.

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