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Demographics
Q.1
What is your gender?
*
Male
Female
Q.2
What is your marital status?
*
Single
In a relationship
Married
Divorced/Separated
Widowed
Q.3
How old are you?
*
Under 18
18-24
25-34
35-44
45-64
65+
Q.4
What is your total household income?
*
Less than $29,999
$30,000 to $39,999
$40,000 to $49,999
$50,000 to $59,999
$60,000 to $69,999
$70,000 to $79,999
$80,000 to $89,999
$90,000 to $99,999
$100,000 to $149,999
$150,000 or more
Q.5
Where do you live?
*
Urban area
Suburban area
Rural area
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