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What is your age?
Under 21
21-34
35-44
45-54
55-64
65+
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What is your gender?
Male
Female
TransMale
TransFemale
Non-binary
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Which of the following races do you consider yourself to be? (select all that apply)
White or Cacasian
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Pacific Islander
Other (specify)
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What is your highest level of education?
High school or less
High school diploma/GED
Associate's Degree
Bachelor's Degree
Master's Degree
Post-Master's Certification
PhD
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What is your employment status?
Unemployed
Underemployed (less than 20 hours a week)
Part-Time (20-35 hours a week)
Full-Time (36+ hours a week)
Self-Employed
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What is your marital status?
Single
Long-term relationship no children
Long-term relationship with children
Married (No children)
Married (Children)
Divorced
Widowed
Other
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What is your household status?
Live alone
Roommates (how many)
With spouse/no children
With spouse/children (how many children)
With parent(s)/no sibling
With parent(s)/siblings (how many siblings)
Other (indicate below)
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