Demographic Data

* 1. Are you male or female?

* 2. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?

* 3. In what year were you born? (enter 4-digit birth year; for example, 1976)

* 4. Do you consider yourself to be heterosexual, homosexual, bisexual or something else?

* 5. Do you identify with any of the following religions? (Please select all that apply.)

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