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what is your age?
 
18 to 24
 
25 to 34
 
35 to 44
 
45 to 54
 
55 to 64
 
65 to 74
 
75 or older
 
 
 
what is you gender?
 
female
 
male
 
 
 
About Yourself
Title
 
Mr
 
Mrs
 
Miss
 
Dr
 
Prof
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
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