Your Background

1. What is your sex?         Female         Male

2. What is your race? African AmericanAsian AmericanBlackBrownCausasianEuropean AmericanHispanic AmericanLatina/LatinoIndian or Native AmericanOtherRedWhiteNot Sure or Not Applicable

3. If answer to question #2 is "Other," then please specify.

4. What is your age? 1011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465666768697071727374757677787980

5. What is your social class? Middle ClassLower Middle ClassUpper Middle ClassLower ClassRuling ClassUnderclassUpper ClassWelfare classWorking classNot Sure or Not Applicable

6. What is your (or your parents') annual income? $0 - $20,000$20,001-$40,000$40,001-$60,000$60,001-$80,000$80,001-$100,000$100,001+Not Sure or Not Applicable

7. What is your highest degree or educational level Elementary SchoolHigh SchoolAssociate DegreeBaccalaureate DegreeMaster's DegreePh.D. or equivalent

8. What is your basic political or ideological orientation? AnarchistCommunistConservativeDemocratFascistGreenLiberalModerateMonarchistNaziNeo-conservativeNeo-NaziOtherRacistRepublicanReactionarySocial DemocratSocialistNot Sure or Not Applicable

9. If your response to question #8 is "Other," then specify here.

10. What is your religion?

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