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What is your age?
 
25 or under
 
26-40
 
41-55
 
56 or older
 
 
 
What is your gender?
 
Female
 
Male
 
 
 
What is your primary language?

 
Arabic
 
English
 
Spanish
 
Other
 
 
 
 
What is the highest level of education you have completed?
 
Grammar school
 
High school or equivalent
 
Vocational/technical school (2 year)
 
Some college
 
Bachelor's degree
 
Master's degree
 
Doctoral degree
 
Professional degree (MD, JD, etc.)
 
Other
 
 
 
 
Where do you currently reside?
 
Lalor
 
Epping
 
Other
 
 
 

How long have you been living there?
 
Less than 9 years
 
10-19 years
 
20-29 years
 
30-39 years
 
More than 40 years
 
All my life
 
 
 
Which of the following best describes the area you live in?
 
Urban
 
Suburban
 
Rural
 
 
 
How many children under 16 years old live in your household?
 
None
 
1
 
2
 
3
 
4 or more
 
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