As part of our efforts to keep our mailing list up to date and to better understand who is participating in Community Challenge activities, we would appreciate it if you spent a few minutes providing us with some information about yourself. Answering the following questions is entirely voluntary, however strongly encouraged. Your responses will be kept confidential (although we do plan to summarize the results to better understand our community. Your name and information will not be sold or used in any manner other than to collect data and to communicate information about Community Challenge and its activities. Also, please be assured that we will only place your name and address on our mailing list (unless you request us not to) in order to keep you informed about upcoming events and to invite you to participate in future activities.
Please answer each of the following questions to the best of your ability. Thanks very much for your help. |
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| 1. If you reside in Flint, what neighborhood do you live in? |
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| 2. If you reside outside of Flint, what city, village, or township do you live in? |
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| 3. What is your gender? |
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Female |
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| 4. What is your age? |
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| 5. What is your present occupation? |
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| 6. What is your racial identity? |
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| 7. Are you a member of a labor union? |
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| If yes, which one?
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| 8. What is your ethnic identity? |
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| 9. Which of the following best describes the part of the economy you work in? |
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| 10. What was your total household income last year? |
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| 11. What is your religious affiliation? |
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