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* 1. Age

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* 2. What is your nationality?

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* 3. What is your ethnicity?

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* 4. What is your gender identity?

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* 5. What is your sexual orientation?

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* 6. Which of the following best describes your current relationship status?

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* 7. Do you identify with any of the following religions? (Please select all that apply.)

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* 8. Do you or a family member have albinism?

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* 9. What type of albinism do you/your family member have?

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* 10. Do you see albinism as a disability? (Please explain your answer)

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* 11. Which of the following categories best describes your employment status?

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* 12. Do you or the person with albinism in your care have access to reasonable adjustments at work or school?

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* 13. Do you/your family member with albinism have an Education and Health Care (EHC) Plan in place?

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