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Transgender
Lesbian
Bisexual
Gay
Intersex
Questioning
Heterosexual
Other…
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Male
Female
Transgender Male/Transman/FTM
Transgender Female/Transwoman/MTF
Genderqueer
Decline to answer
Other…
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Men
Women
Both
Trans
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18-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65+
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African American
Pacific Islander/Asian
     Chinese
     Vietnamese
     Filipino
     Japanese
     Indian/Southeastern Asian
     Korean
Caucasian/White
Native American/Native Alaskan
Hispanic/Latino
     Spanish descent
     Mexican
     Central-American (Please specify country of origin in the "Other" box)
     South American (Please specify country of origin in the "Other" box)
Other…
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US citizen 
Legal resident 
Green card holder 
No, not a U.S. citizen
Prefer not to answer
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Single 
Dating
Committed Long-Term Relationship
Married (Federally recognized)
Widowed
Divorced
Other…
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Currently living with children
Do not live with children
Do not have children
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Less than High School 
High School Graduation/GED 
Some College
2 Year Associate Degree
4 Year College Degree 
Master Degree
Doctoral Degree 
Advanced Professional Degree
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Living alone in apartment or condo 
Living alone in single dwelling house
Living with others in apartment/condo 
Living with others in a house
In a shelter or group home 
Living at parent(s) home
On the streets/ homeless
Other…
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Yes
No
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Yes
No
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Full-time 
Part-time
Stay-at-home Parent 
Not Currently Employed
Student
Other…
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Under $15,000 
$15,001 - $25,000
$25,001 - $40,000 
$40,001 - $50,000
$50,001-$75,000 
$75,001 - $100,000 
$100,001+
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