1. I am a/an (Please choose one)
2. What is your age group? (Please choose one)
3. In what state do you currently live?
4. I am a (Please choose one):
5. What is the highest level of education you have completed? (Please choose one)
6. Please specify your race:
7. I found the Help to Achieve Web site through:
8. How often do you visit the Help to Achieve Web site?
9. Please answer the following survey questions regarding your opinion of the content and use of the Help to Achieve Web site where 1=Strongly Agree, 2=Agree, 3=Neutral, 4=Disagree, and 5=Strongly Disagree.
10. In my opinion I would rate the following components of the Achieve Web site as:
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