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Question 1
With which categories do you identify? (Select all that apply)
Genderqueer or Non-Binary
Man
Transgender
Woman
Prefer to Self-Describe:
Unsure
Prefer not to answer
Question 2
Please choose the ranges below that most closely approximates your individuals earnings and household income, before taxes.
Under $35,000
$35,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 and over
Question 3
What is your ethnicity?
Hispanic
Non-Hispanic
Question 4
What is your race? (You may check more than one category)
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Two or more races
Other (please specify)
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