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What is your first name?

What is your last name?

What is your email address?

I would like to receive email newsletters from Unify America.

What's your mobile number?

I would like to receive text reminders from Unify America.

What's your gender?

How would you most likely describe yourself?

Conservative

Somewhat Conservative

Moderate or Centrist

Somewhat Liberal

Liberal

Libertarian

Anarchist

How do you tend to vote?

Always Republican

Always Democratic

Mostly Republican

Mostly Democratic

Almost evenly split

Mostly third-party

I rarely vote

How did you hear about the Unify Challenge?

What is your zip code?

Which of these best describes where you live?

Metropolitan area

Suburb

Rural area

What is your date of birth? Enter as mm/dd/yyyy

Which of the following words most closely describes the race(s) of your biological parents?

Black or African-American

Caucasian or White

Asian

Hispanic or Latino

Middle Eastern or North African

Native American or Alaska Native

Native Hawaiian or other Pacific Islander

I'd rather not say