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Mental Health Alert Wristband, Inc. Survey
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What is your gender?
Male
Female
Prefer not to say
Other:
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What is your age?
15-18
19-30
31-50
51-70
70+
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Please specify your ethnicity.
Caucasian
African-American
Latino/Hispanic/Latinx
Asian
American Indian/Native American
Native Hawaiian or Pacific Islander
Two or More
Other/Unknown
Prefer not to Say
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Do you have a mental illness?
Yes
No
Prefer not to Say
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Please specify in what city and state you reside.
Your answer
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