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Please answer the questions below to the best of your ability. Responses are strictly anonymous.

Upon submitting the survey, you will be brought to a form where you may enter a raffle drawing to win a $15 gift card to Walmart in appreciation for completing the survey. There will be 8 winners!

Please note: If you enter into the raffle drawing, the information collected is separate from the information collected for the survey.

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* 1. What is your zip code?

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* 2. What is your age?

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