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How old are you?
What gender do you identify as?
Male
Female
Non-binary / third gender
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What race(s) do you most identify with?
Caucasian
African-American
Latino or Hispanic
Asian
Native American
Native Hawaiian or Pacific Islander
Two or more
Other
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Are you married?
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No
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What is your current employment status?
Employed Full-Time
Employed Part-Time
Student
Seeking Opportunities
Retired
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