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Questions marked with an * are required
 
 
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Occupation (Parent, Teacher, Student, etc.)
   
 
 
 
How old are your children?
 
0-3
 
4-7
 
8-12
 
13-18
 
19+
 
I do not currently have any children

 
 
 
What is your age? *
 
18-25
 
25-30
 
30-40
 
40-50
 
50-60
 
60+
 
 
 
Sex *
 
Male
 
Female