Form DM - Demographics
DM - Demographics
What is the subject's date of birth?	01 Jan 2000
What is the subject's age?
What is the age unit used?	Years
What is the sex of the subject?	Choose Female Male Unknown Undifferentiated
Do you consider yourself Hispanic/Latino or not Hispanic/Latino?	Choose Hispanic or Latino Not Hispanic or Latino Not Reported Unknown
Which of the following five racial designations best describes you? (More than one choice is acceptable.)	Choose American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Not Reported Unknown Other
What was the other race?

* Mandatory field