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Preferred method to be <br />Email <br />contacted <br />Please provide alternative <br />Field not completed. <br />phone number or email if <br />different from above <br />How do you identify your <br />gender? <br />Do you rent or own? <br /> <br />Do you have a sensory, <br /> <br />physical, or mental <br />disability? <br />If yes, into which <br />category does your <br />disability fall? (Choose <br />all that apply) <br />If "Other" please <br /> <br />describe: <br />If "Other" please <br />describe: <br />What category represents <br /> <br />your age? <br />What was your total <br /> <br />household income in the <br />previous year before <br />taxes? <br />What is your employment <br /> <br />status? (Check all that <br />apply) <br />What is the highest level <br /> <br />of education you have <br />completed? <br />What is your <br /> <br />race/ethnicity? (Check all <br />that apply) <br /> <br />Qbhf!218!pg!413 <br /> <br />