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What is your age range?
18-26 years old
27-49 years old
50-64 years old
65 years old and older
What is your race/ethnicity? (Choose all that apply)
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Prefer not to answer
What is your annual household income?
Less than $20,000
$20,000-$44,999
$45,000-$139,999
$140,000-$149,999
$150,000 and above
Prefer not to answer
What is your student status?
Undergraduate
Graduate
Not a student
Will you receive a COVID-19 vaccine?
Yes
Yes, but I will wait
I have already received it
No
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