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What is your gender?
 
Male
 
Female
 
 
 
Do you feel like you have the support of your parents?
 
Yes
 
No
 
 
 
Do you feel like you have a stressful home environment?
 
Yes
 
No
 
 
 
Do you feel like having enough money is an issue for your parents?
 
Yes
 
No
 
 
 
What grade are you in?
 
9th
 
10th
 
11th
 
12th
 
 
 
How old are you?
 
14
 
15
 
16
 
17
 
18
 
19
 
 
 
What is your learning style?
 
Hands-on
 
Learn by Listening
 
Visual
 
 
 
Do you plan to go to college after graduation?
 
Yes
 
No
 
 
 
Have you had a serious discussion your parents about you going to college?
 
Yes
 
No
 
 
 
Do you feel safer at school than you do at home?
 
Yes
 
No
 
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