MAX Survey 14% of survey complete. Question Title * 1. What is your age? 17 or younger 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 or older Question Title * 2. I am: Female Male Other Question Title * 3. What is your race? (Please select all that apply.) American Indian or Alaska Native Asian or Pacific Islander Black or African American White or Caucasian Other (please specify) Question Title * 4. Are you of Hispanic or Latino origin or descent? Yes, Hispanic or Latino No, not Hispanic or Latino Question Title * 5. In what ZIP code is your current residence located? (enter 5-digit ZIP code; for example, 00544 or 94305) Question Title * 6. Are you a student or employee at UT Arlington? Yes No Next
