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What is your age?
 
25-34
 
35-44
 
45-54
 
55-64
 
65+
 
 
 
What is your gender?
 
Male
 
Female
 
 
 
What is your ethnicity?
 
Filipino
 
Filipino Americans
 
Other
 
 
 
What is your level of education?
 
High School
 
Some College
 
Trade/Vocational/Technical
 
Associates
 
Bachelors
 
Masters
 
Professional
 
Doctorate
 
 
 
Length of stay in the United States?
 
0-5
 
6-10
 
11-15
 
16-20
 
21-25
 
26-30
 
31+
 
 
 
Employment status?
 
Unemployed
 
Self-employed
 
Part-time
 
Full-time
 
Homemaker
 
Student
 
Retired
 
Military
 
 
 
Income bracket?
 
$25
 
$25-34,999
 
$35-49,999
 
$50-74,999
 
$75-99,999
 
$100-149,999
 
$150+
 
 
 
What is your marital status?
 
Never married
 
Divorced
 
Widowed
 
Separated
 
Married
 
 
 
What is your helght?
 
__________
 
 
 
What is your weight?
 
_________
 
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