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Age Friendly Arlington
Tell us about you
1.
What is your age?
2.
What is your Zip Code
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)
4.
What is your gender?
Male
Female
Transgender
Other (please specify)
5.
How would you rate your overall quality of life?
Very Poor
Poor
Neutral
Good
Very Good
Very Poor
Poor
Neutral
Good
Very Good
Current Progress,
0 of 32 answered