Age Friendly Arlington

Tell us about you

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* 1. What is your age?

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* 2. What is your Zip Code

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* 3. What race do you identify with?

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Another race

Other (please specify)

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* 4. What is your gender?

Male

Female

Transgender

Other (please specify)

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* 5. How would you rate your overall quality of life?

Very Poor

Poor

Neutral

Good

Very Good

Very Poor

Poor

Neutral

Good

Very Good