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Demographic Questionnaire
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* Indicates required question
What is your name?
*
Your answer
What is your participant number?
*
Your answer
To which gender identify do you most identify?
*
Male
Female
Transgender Female
Tansgender Male
Gender Variant/Non-Conforming
Prefer Not to Answer
Other:
What is your age?
*
18
19
20
21
22
23
24
Please specify your ethnicity
*
Caucasian
African-American
African
Latino or Hispanic
Asian
Native American
Native Hawaian or Pacific Islander
Middle eastern/Arabic
Two or More Ethnicities
Other/Unknown
Prefer not to say
What is your intended Education Major?
*
Elementary Education
Secondary Math
Secondary Communication Arts Literature Teaching
Secondary Social Studies
Secondary Science
Art
Physical Education/Health
Spanish or Latin
Music (Vocal or Instrumental)
Other:
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