National Young Adult Survey The National Young Adult Initiative - Research Survey Question Title * 1. Contact Information Name City / Town State / Province Email Question Title * 2. What is your age? 17 or younger 18-20 21-29 30-39 40 or older Question Title * 3. Are you male or female? Male Female Question Title * 4. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race? White Black or African-American American Indian or Alaskan Native Asian Native Hawaiian or other Pacific Islander From multiple races Some other race (please specify) Next