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Gender
 
Male
 
Female
 
 
 
Which category below includes your age?
 
17 or younger
 
18-20
 
21-29
 
30-39
 
40-49
 
50-59
 
60 or older
 
 
 
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
 
 
 
What is your current martial status?
 
Single/never married
 
Married
 
Separated/divorced
 
Widowed
 
Prefer not to answer
 
 
 
Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?
 
White
 
Black or African-American
 
American Indian or Alaskan Native
 
Asian
 
Native Hawaiian or other Pacific Islander
 
From multiple races
 
 
 
What is your religious affiliation?
 
Christian
 
Roman Catholic
 
Evangelical Christian
 
Jewish
 
Muslim
 
Hindu
 
Buddhist
 
Other
 
 
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