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How It Works
We need some basic information about you so we can ask the right questions:
What is Your Name?
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Were you born male or female?
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Male
Female
When were you born?
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Month
01 - January
02 - February
03 - March
04 - April
05 - May
06 - June
07 - July
08 - August
09 - September
10 - October
11 - November
12 - December
Day
Year
What race do you mostly identify with?
*
Aleutian, Alaska native, Eskimo, or American Indian
Asian
Black
White
Pacific Islander
Other
I Don't Know
Prefer Not To Answer
Are you of Hispanic Origin?
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Yes
No
What is your home address?
What is your email?
What is your occupation?
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