Exit survey
U.S.A. Demographics
Completion Status:----------

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*What is your gender?

*Please select the range containing your age.

*What is your marital status?

*Which state do you reside in?
*How many people live in your household?

*What is your highest level of education?

*What is your employment status?

*What is your household's total annual income?
*Please choose the race/ethnicity that best identifies you.

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