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Which type of community do you live in?
 
Suburban
 
Rural
 
City/Urban
 
Unsure

 
 
 
Which suburb do you reside in?
   
 
 
 
Do you have any pets?
 
Yes
 
No
 
Other? (please specify)
 

 
 
 
Which of the following transport options do you use?
 
Bus
 
Car
 
Train
 
Bike
 
Walk
 
Other? (please specify)

 
 
 
Describe your race or ethnicity below
   
 
 
 
What is your marital status?
 
Single
 
Married
 
Have A Partner
 
Divorced
 
Other? (please specify)
 

 
 
 
What best describes your employment status (please tick all that apply to you)
 
Student
 
Full-Time
 
Part-Time
 
Self-Employed
 
Seasonal
 
Un-Employed
 
Disabled
 
Other? (please specify)
 

 
 
 
What best describes your housing status?
 
Renter
 
Home Owner
 
Homeless
 
Live With Parents
 
Other? (please specify)
 

 
 
 
What is your gender?
 
Female
 
Male
 
Transgender
 
Would rather not say
 
Other? (please specify)
 

 
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