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What is your zipcode?

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Which City of Austin district do you live in?

City of Austin District Map
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What is your age? Enter your age in years.

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What is your race or ethnicity? Please select all that apply.

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What is your current gender identity? Select all that apply.

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Which of the following best represents how you think of yourself and your sexual orientation? Please select one.

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Are there communities in Austin that you feel connected to or part of? (for example: groups you volunteer with, culturally-based groups, religious groups, interests or hobby groups, etc.)