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1 First Name
2 Last Name
3 Contact E-mail
4 Job Title
5 Organization Name
6 Zip code of your workplace location
 Enter only 5 digits
7 Approximately how many people are employed by your organization, full-time and part-time, at your work location? (Please exclude outside contractors from your count.)
0 (self-employed)
1 - 4 employees
5 - 9 employees
10 - 19 employees
20 - 49 employees
50 - 99 employees
100 - 249 employees
250 - 499 employees
500 - 999 employees
1,000 plus employees
8 In what county is your primary work setting (i.e., the county with the most employees) located?