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* 1. First Name

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* 2. Last Name

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* 3. Adult's Email address

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* 4. Adult's Date of Birth

Date

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* 6. With which group do you most identify?

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* 8. What is your highest educational level? 

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* 9. What is your employment status?

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* 10. What is your approximate annual household income?

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* 11. How many members are in your household (including yourself)?

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* 15. Which devices do you use at home?

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* 16. How many internet-capable devices do you have at home?

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* 17. Which best describes your level of computer skills?

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* 18. How do you access the Internet in your home?

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