1.What is your email address?

2.First and Last Name

3.What COUNTY do you live in?

4.What city do you live in?

5.What is your age?

18

19

20

21

22

23

24

25

26

27

28

29

6.What is your gender?

Female

Male

Non-Binary

7.Do you have a high school diploma or GED?

Yes

No

8.Have you earned a post-secondary credential/certificate?

Yes

No

9.Are you currently enrolled in a post-secondary educational program?

Yes

No

10.Are you currently employed?

Yes

No

11.If employed, what is your status?

N/A (Unemployed)

Works Part - Time (less than 30 hours a week)

Works Full - Time (more than 30 hours a week)

12.At what age did you leave state's care (including independent living)?

17

18

19

20

21

13.Do you have a full driver's license?

Yes

No

14.Do you own a vehicle?

Yes

No

15.Are you currently parenting or expecting a child?

Yes

No