* 1. What School District do you attend?

* 2. What is your current age?

* 3. What grade are you currently in, at school?

* 4. What gender (female/male) are you?

* 5. Do you receive or qualify for a reduced or free school lunch?

* 6. Are you on an IEP (Individual Education Plan)?  Please indicate yes if you have an IEP, even if you do not regularly see an Intervention Specialist, Speech Therapist or other adult Special Education Teacher.

* 7. Did either of your parents attend college?

* 8. Have either of your parents served in the Military?

* 9. If you have had a parent serve in the Military, are they currently a member of the Military?

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