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Peoria on Purpose - Regional Survey
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Most of these fields are optional, but providing as much information as possible is greatly appreciated!
Age
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18-24
25-34
35-44
45-54
Over 55
Gender
Female
Male
Other:
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Marital Status
Single
Married or domestic partnership
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Children
Yes
No
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Ethnicity
White
Hispanic or Latino
Black or African American
Native American or American Indian
Asian / Pacific Islander
Other
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Zip Code
*
Your answer
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