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*Disclaimer: All answers to this questionnaire will be used in the development of my doctoral thesis and subsequent publications. Your name and any other personal identifying features will remain anonymous. Future inquires may be made on the same subject matter, if you are willing to further participate. If you have any questions about this survey or need clarification on any of the questions asked please email Nicole ([email protected])

Please answer as completely as possible. If you feel uncomfortable with any of the questions it is ok to leave them blank.

Thank you for your participation.
 
 
 
 
Age (as of August 1, 2015)
   
 
 
 
Gender Identity (Identify with whatever makes you comfortable)
   
 
 
 
Hometown
   
 
 
 
Current location
   
 
 
 
Nationality
   
 
 
 
Ethnicity
   
 
 
 
Religious identity
   
 
 
 
Parents’ highest level of education completed
   
 
 
 
Parents’ occupations
   
 
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