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What is your date of birth?
   
 
 
 
How old are you (i.e., 10, 11, 12 etc)?
   
 
 
 
What grade are you in at school (e.g., 6, 7, 8, etc)?
   
 
 
 
What is your race/ethnicity?
 
Euro-American/Caucasian
 
Latino/Hispanic American
 
African American/Black
 
Native American
 
Asian American (East Asian)
 
Asian American (Middle East)
 
Other
 
 
 
 
What generation are you?
 
First (Born outside of the U.S.; you immigrated to the U.S.)
 
Second (Your parents immigrated; you were born in the U.S.)
 
Third (Your grandparents immigrated; you and your parents were born in the U.S.)
 
Fourth (Great-grandparents immigrated; you, your parents, and grandparents were born in the U.S.)
 
Fifth or beyond (Great grandparents, grandparents, parents, and you were all born in the U.S.)
 
 
 
Are you fluent (i.e., can have a complete conversation) in a language other than English?
 
Yes
 
No
 
 
 
What languages do you speak besides English? (Select all that apply)
 
None
 
Spanish
 
French
 
Other
 
 
 
 
Which language do you most commonly speak with friends?
 
English
 
Spanish
 
French
 
Other
 
 
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