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What month is your birthday?
January
February
March
April
May
June
July
August
September
October
November
December
What language(s) can you speak?
Spanish
English
German
French
Dutch
Portuguese
Chinese
Japanese
Swedish
Finnish
Greek
Other
How many siblings do you have
1-3
2-5
4-6
Other
How many parents do you have?
1
2
3
4
5
6
Other
I have lived here:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
I go to:
Elementary school
Middle school
High school
College
Other
I have a nickname
True
False
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