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Demographics - Part 1

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* 1. What year were you born?

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* 2. What is your exact birthday?

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* 3. What is your race?

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* 4. What is your ethnicity?

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* 5. What is your current health insurance status?

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* 6. What are the last 4 digits of your Social Security Number, if you have one?
This is a unique identifier for your test. It is completely confidential.

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