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What is your gender?

Into which age bracket do you fit?

What is the highest grade of school you have completed or the highest degree you have received?

Which of the following describes your race? You can select as many as apply.

What is your marital status?

Please select the option that best describes your living condition:

Last year, that is in 2013, what was your total family income from all sources, 
before taxes? 

Please choose the statement that best explains your ability to read in English.

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