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OLLI

Page One

What is your age? *This question is required.
What is your gender? *This question is required.
What is the highest level of education you have completed? *This question is required.
Are you currently enrolled in school as a full-time or part-time student? *This question is required.
What is your race/ethnicity? *This question is required.
What is your marital status? *This question is required.
What is your religious preference? Is it Protestant, Catholic, Jewish, some other religion, or no religion? *This question is required.
The following question is used to determine which questions you will be presented in the rest of the survey.
What day of the month does your birthday occur on? *This question is required.
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