Exit this survey GFG Client Outcome Summary Question Title * 1. Date: Date Date Question Title * 2. Demographic Information Name: Email Address: Phone Number: Question Title * 3. Birth Date Birth date Date Question Title * 4. Gender Male Female Unanswered Question Title * 5. Ethnicity Caucasian African-American Bi-racial Hispanic Asian Other Unanswered Question Title * 6. Is your annual income above $10,890? (2010-2012 - $10,830), (2008-2010 - $10,400) Yes No Unanswered Dependent or other Next