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Age?
   
 
 
 
Gender?
 
Male
 
Female
 
 
 
Race?
 
Caucasian
 
African-American
 
Hispanic
 
Native-American
 
Asain-American
 
Other
 
 
 
 
What is you martial status?
 
Married
 
Divorced
 
Single
 
Widowed
 
 
 
What type of community did you grow spend most of your youth?
 
Large Metropolitan
 
Mid-size Metropolitan(50K-100K)
 
Small Metropolitan(20K-49K)
 
Small Town(under 19K)
 
Rural
 
 
 
What is your class standing?
 
Freahman
 
Sophomore
 
Junior
 
Senior
 
Graduate
 
 
 
Do you live on Campus?
 
Yes
 
No
 
 
 
Where do you attend college?
   
 
 
 
What is your GPA?
   
 
 
 
Are you in a Fraterninty/Soritity? if yes which organization?
   
 
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