9% of survey complete.

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* 1. Name

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* 2. If someone referred you for this study, please type his or her name

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* 3. E-mail Address

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* 4. Phone number to reach you

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* 5. Your age (Optional)

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* 6. What is the highest level of education you have completed?

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* 7. Which of the following best describes your ethnicity?

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* 8. What is your total annual household income before taxes?

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* 9. Which of the following best describes your living situation?

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