Please note: These following questions are to verify your eligibility for the study.
How old are you?


Yes
No


Male
Female
Other


American Indian or Alaska Native
Hawaiian or other pacific islander
Asian or Asian American
Black or African American
Hispanic or Latino
Non-Hispanic White
Other


None, or grades 1-8
High school incomplete (grades 9-11)
High school graduate (grade 12 or GED certificate)
Technical, trade or vocational school AFTER high school
Some college, no 4-year degree (includes associate degree)
College graduate (B.S., B.A., or other 4-year degrees)
Post-graduate training/professional school after college (toward a Master's degree or Ph.D., Law or Medical school)

First we have some questions about several issues. There are no right or wrong answers, we are interested in what you think.

Please indicate how strongly you agree or disagree with following statements:
Strongly Disagree Neither disagree or agree Strongly Agree
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2
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5
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7
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2
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7
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