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1. Are you male or female? (Required.)

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2. What is your age? (Required.)

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3. What is your ethnicity? (Please select all that apply.) (Required.)

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4. What is the highest level of school that you have completed? (Required.)

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5. Which of the following best describes your current relationship status? (Required.)

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6. In total, how many children do you have? (Required.)

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