2013 Teen Dating Violence Summit Audience Survey

Demographic Information

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* 1. What is your age?

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* 2. What is your gender?

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* 3. What is your race?

Caucasian (White)

Black or African American

Asian or Pacific Islander

American Indian or Native American

Other (please specify)

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* 4. Are you Hispanic?

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* 5. What is your home zip code?