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Gender:
Either
Male
Female
Number of Children:
1
2
3
4
5
6
7
8
9
10
to
1
2
3
4
5
6
7
8
9
10
Age:
Infant
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
to
Infant
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
All
White
Black/White
Asian
Black or African American
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
