HNKOP Oral Health Survey - Apr2022

Demographics

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* 1. To which gender identity to you identify with most?

Female

Male

Other (please specify)

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* 2. Are you Native Hawaiian?

Yes

No

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* 3. What is your birth year?

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* 4. What zip code do you reside?

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* 5. What is your marital status?

Single (never married)

Married or in a domestic partnership

Separated

Divorced

Widowed