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* 1. How do you describe yourself?

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* 2. What is your age?

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* 3. In which city and state do you live?

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* 4. Religion/Spiritual Affiliation: Which of the following do you consider yourself? Choose one.

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* 5. What is your vocation or profession?

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* 6. Do you receive Tanenbaum's Combating Extremism emails?

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* 7. About how many Combating Extremism fact sheets have you read?

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* 8. With whom did you share the fact sheets? Mark all that apply.

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* 9. If you've shared the question sheets from Combating Extremism, with whom did you share them? Mark all that apply.

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* 10. Please estimate how many people you've shared Tanenbaum's Combating Extremism resources with, either electronically, via mail or in person.

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* 11. What is your primary source of information for learning about terrorism/extremism?

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* 12. After considering all the possible threats to you, your family, or your wider network (motor vehicle accidents, health conditions, everyday crime, natural disasters, etc.), please tell us how much of a threat to your life you consider terrorism/extremism? (On a scale of 1-10, with 10 being the most threatening).

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* 13. If any, what are the top 3 events that you most closely associate with terrorism/extremism?

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* 14. With whom, if anyone, do you discuss terrorism/extremism?

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* 15. If you discuss terrorism/extremism, what issues do you talk about?

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* 16. If you have terrorism/extremism discussions, do you find points of agreement? Please list/explain.

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* 17. If you have terrorism/extremism discussions, what are points of disagreement?

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* 18. Have you changed or altered any activities in your daily life because of terrorism/extremism?

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* 19. On a scale where 5 is a priority and 1 is not a priority, please rank where combating terrorism/extremism is for you.

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* 20. What, if anything, do you currently do to combat terrorism/extremism? Please explain.

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* 21. What, if anything, have you done to help others or to show solidarity after an act of extremism/terrorism?

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