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Name
   
 
 
 
What is your gender?
 
Male
 
Female
 
 
 
How old are you?
 
18 to 24
 
25 to 34
 
35 to 44
 
45 to 54
 
55 or older
 
 
 
How many siblings do you have?
 
0
 
1-3
 
3-5
 
5-7
 
7-9
 
9+
 
 
 
Ratio of boys to girls in your family?
   
 
 
 
Which sibling are you closet to?
   
 
 
 
How old are they?
   
 
 
 
Where do you fall in your family, age wise (oldest-youngest)?
   
 
 
 
Do you live with both parents?
 
Yes
 
No