Pre-screener

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* Contact Information

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* Q1 Does any member of your family or friends circle currently work or have ever worked in any of the following industries?

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* Q2 What is your gender?

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* Q3 What is your age?

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* Q4 What is your ethnic group?

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* Q5 Which of the following best describes your marital status?

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* Q6 What is your working status?

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* Q7 What is your job title? (Please write N/A if unemployed)

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* Q8 What bracket does your household income fall into?

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* Q9 What type of area do you live in?

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* Q10 Do you have any children living at home with you? What are their ages?

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* Q10 Please specify the gender of each of your kids

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