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* 1. Race:

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* 2. Ethnicity:

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* 3. Gender:

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* 4. Age:

We are particularly interested in the experiences of our members who identify as part of a marginalized and/or minority group, as you would describe that for yourself. Below are some examples, for the ones that apply to you, please tell us more about who you are.  None of these questions are required, so please feel free to provide as much or as little information as you would like. 

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* 5. If you identify as part of a marginalized and/or minority group, are you interested in participating in a answering a few additional questions about your experience in the VSEA?

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