What is your age?

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* 1. What is your age?

What is your gender?

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* 2. What is your gender?

What is your ethnicity origin (or race)?

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* 3. What is your ethnicity origin (or race)?

What is your five-digit zip code?

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* 4. What is your five-digit zip code?

Do you have a California Driver's License?

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* 5. Do you have a California Driver's License?

Do you own a smartphone?

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* 6. Do you own a smartphone?

Do you own/lease a: (please check off all that apply)

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* 7. Do you own/lease a: (please check off all that apply)

How many licensed drivers are in your household?

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* 8. How many licensed drivers are in your household?

Do you have a primary care physician?

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* 9. Do you have a primary care physician?

Does a family member/friend drive you to your doctor's appointments?

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* 10. Does a family member/friend drive you to your doctor's appointments?

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