Demographic Questions

Questions 1-10 are the general demographic questions. These questions are asked to help us generate survey results based on demographic characteristics of the respondents. This survey is Anonymous.

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* 1. What is your gender?

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* 2. What is your 5-digit zipcode?

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* 3. What is your racial or ethnic identity? (Select all that apply.)

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* 4. What is your age?

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* 5. What is your total annual household income before taxes in the most recent tax year?

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* 6. Which of the following best describes your current relationship status?

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* 7. Besides yourself, do you have any of the following people living in your household?

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* 8. How many people live in your household, including yourself?

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* 9. Does any disability, handicap, chronic disease keep you and/or family member from participating in work, school, housework or other activities?

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* 10. Which of the following categories best describes your employment status?

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