U.S. Demographics - Snapshot Template

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* 1. What is your gender identity?

Man

Woman

Non-binary

Prefer to self-describe (please specify)

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* 2. Which category below includes your age?

17 or younger

18-20

21-29

30-39

40-49

50-59

60 or older

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* 3. What is the highest level of school you have completed or the highest degree you have received?

Less than high school degree

High school degree or equivalent (e.g., GED)

Some college but no degree

Associate degree

Bachelor degree

Graduate degree

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

Employed, working 40 or more hours per week

Employed, working 1-39 hours per week

Not employed, looking for work

Not employed, NOT looking for work

Retired

Disabled, not able to work

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* 5. How much total combined money did all members of your HOUSEHOLD earn last year?

$0 to $9,999

$10,000 to $24,999

$25,000 to $49,999

$50,000 to $74,999

$75,000 to $99,999

$100,000 to $124,999

$125,000 to $149,999

$150,000 to $174,999

$175,000 to $199,999

$200,000 and up

Prefer not to answer

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* 6. Which race or ethnicity best describes you? (Select all that apply)

American Indian or Alaska Native

Asian or Asian-American

Black or African-American

Hispanic or Latino/a

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

Another race (please specify)