Have you taken this survey before?

1. Indicate yes or no * --------------- No Yes

Background Info

2. Age:       ZIP code:
3. Indicate your biological sex * ---------------- Male Female Other —   Prefer not to answer
4. Indicate your marital status ---------------- Never married Married Domestic Partnership Divorced & Single Divorced & Remarried Widowed & Single Widowed & Remarried —   Prefer not to answer
5. How well do you speak English? ---------------- Very well (fluent/native) Well Not well Not at all (need translation) —   Prefer not to answer
6. How would you rate your health? ---------------- Excellent Very good Good Fair Poor —   Prefer not to answer

Where did you grow up?

3. Parent/guardian 1: General field of work ------------------------ Not Applicable Arts, Design, Entertainment, Sports, and Media Building and Grounds Cleaning and Maintenance Business and Financial Operations Community and Social Services Computers and Mathematics Construction and Extraction Education, Training and Library Services Engineering and Architecture Farming, Fishing, and Forestry Food Preparation and Serving Healthcare Installation, Maintenance, and Repair Law and Legal Services Life Science, Physical Sciences and Social Sciences Management Manufacturing and Production Military Office and Administrative Support Personal Care and Related Services Protective Services Sales and Related Services Transportation and Material Moving —   Prefer not to answer
4. Parent/guardian 1: Level of education ---------------- Less than 12 years High school graduate Currently in college/university Some college/university, but did not graduate Associate degree (2 yr) College/university degree (4 yr) Currently in graduate or professional school Graduate or professional school degree —   Prefer not to answer
5. Parent/guardian 2: General field of work ------------------------ Not Applicable Arts, Design, Entertainment, Sports, and Media Building and Grounds Cleaning and Maintenance Business and Financial Operations Community and Social Services Computers and Mathematics Construction and Extraction Education, Training and Library Services Engineering and Architecture Farming, Fishing, and Forestry Food Preparation and Serving Healthcare Installation, Maintenance, and Repair Law and Legal Services Life Science, Physical Sciences and Social Sciences Management Manufacturing and Production Military Office and Administrative Support Personal Care and Related Services Protective Services Sales and Related Services Transportation and Material Moving Prefer not to answer
6. Parent/guardian 2: Level of education ---------------- Less than 12 years High school graduate Currently in college/university Some college/university, but did not graduate Associate degree (2 yr) College/university degree (4 yr) Currently in graduate or professional school Graduate or professional school degree —   Prefer not to answer

Education & Employment

7. Select military service status ---------------- Never served in the military Currently in training Currently on part-time duty (Reserve/National Guard) Veteran of part-time duty (Reserve/National Guard) Currently on active duty (full-time) Veteran of active duty (full-time) Other —   Prefer not to answer

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