Demographic Information

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1. Your age is: (select one)

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2. Your gender is: (select one)

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3. Your ethnicity is: (select one)

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4. Your race is: (select all that apply)

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5. Your marital status is: (select one)

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6. Your employment status is: (select one)

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7. Your estimated annual income: (select one)

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8. Age of recipient of care (select one)

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9. Is your adult child diagnosed with an Intellectual Disability? (Select one)

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