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FACTS
HISTORY
SURVEY
MISSION
INTRO INFO
Full Name
State
N/A
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ABOUT YOU
Please select the age range you fall into from the list below.
Select Your Age
0-17
18-24
25-34
35-44
45-54
55+
Please select the race you most identify with from the list below.
Select Your Race
White
Hispanic, Latino(a), or Spanish Origin
Black or African American
Asian
American Indian or Alaska Native
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
Other or Not Listed
Please select the gender you identify with the most.
Female
Male
N/A
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HOUSING
Please select your matiral status from the list below.
single
married
separated
divorced
widowed
How many people are living or staying in your house, apartment, or mobile?
Select an Option...
1
2
3
4
5
6
7
8+
Is this house, apartment, or mobile home:
owned with mortgage
owned without mortgage
rented
occupied without rent
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