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Survey
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1.
What is your gender?
(Required.)
Female
Male
Other (please specify)
Prefer not to answer
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2.
What is your age?
(Required.)
Under 18
18-24
25-34
35-44
45-54
55-64
65+
Prefer not to answer
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3.
What is your race/ethnicity? (select all that apply)
(Required.)
White (Non-Hispanic)
Hispanic
Black or African American
American Indian or Alaskan Native
Asian / Pacific Islander
Prefer not to answer
Multiple Ethnicity / Other (please specify)
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4.
What is the highest level of education you have completed?
(Required.)
Grade school (8th grade or less)
Some high school (not graduate)
High school graduate (12th grade or GED)
Some college (AA/Associates or 1-3 years of college)
College graduate (4 year college)
Some post graduate (no advanced degree)
Post graduate degree
Other (please specify)