1. STUDENT CODE

2. Please enter date of birth

Date of Birth
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3. Gender

4. Who do you live with most of the time? (Pick only one)

5. Are you Hispanic or Latino?

6. What is your race? (SELECT ONE OR MORE)

7. What grade are you in?

8. About how many days were you absent from school last year? (Pick only one)

9. What grades do you generally get in school? (Pick only one)

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