Background Information

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* 1. What is your sex?

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* 2. What is your gender identity?

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* 3. What is your sexual orientation?

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* 4. How old are you?

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* 5. What is your race/ethnicity? (Please check all that apply)

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* 6. What language do you mainly speak at home?

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* 7. What is your current zip code?

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* 8. How are you involved in the community of Hamtramck? (Please check all that apply)

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* 9. What is the highest level of school have you completed?

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* 10. What is your employment status? (Please check all that apply)

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* 11. What is your annual income?

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