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* 1. What's your first name?

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* 2. What's your last name?

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* 3. E-Mail Address

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* 4. Phone number to reach you

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* 5. What is your age?

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* 6. In which group did your 2015 total household income fall, before taxes?

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* 7. Which of the following categories best describes the highest level of education you have completed?

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* 8. What is your current employment status?

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* 9. Would you mind sharing your ethnicity? We’d like to make sure that we’re including the viewpoints of multiple ethnicities in this study.

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* 10. Which of these best describes your marital status?

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