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What are your social determinants? Help our research by completing this short form!
What factors do you think we are missing?
Age
Under 18
18-24
25-34
35-44
45-54
55-64
65-74
75+
Racial Identity
Please select...
American Indian or Alaskan Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Education
Please select...
Less than a high school diploma
High school degree or equivalent (e.g. GED)
Some college, no degree
Associate degree (e.g. AA, AS)
Bachelor’s degree (e.g. BA, BS)
Master’s degree (e.g. MA, MS, MEd)
Professional degree (e.g. MD, DDS, DVM)
Doctorate (e.g. PhD, EdD)
Marital Status
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Single (never married)
In a Domestic Partnership
Married
Divorced
Widowed
Gender Identity
Female
Male
Transgender
Non-binary
Other:
Prefer Not to Answer
Household Income
Less than $20,000
$20,000 to $34,999
$35,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $149,999
$150,000 to $299,999
$300,000 and above
Employment
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Employed Full-time (40+ Hours a week)
Employed Part-time (Less than 40 hours a week)
Unemployed (Looking for work)
Unemployed (Not looking for work)
Student
Retired
Self-employed
Unable to work
Location (Geographical)
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US: Southwest
US: Midwest
US: East Coast
US: West Coast
US: South
International:
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