COLD WHEATHER RESEARCH: Winter Accessibility Survey

Tell Us About Yourself

To help us analyze the responses we get to the study's surveys, we need some general information from you.

INSTRUCTIONS: Click on the circle that represents your answer to each question.
A1) What is your username?
A2) What is your password?
A3) What is your SEX?
A4) What is your AGE?
A5) What is your ANNUAL HOUSEHOLD INCOME from all sources (in US dollars)?
A6) How would you describe the TYPE OF RESIDENTIAL ENVIRONMENT where you currently live?
A7) For us to get a general impression of the area where you live, enter your POSTAL ZIP CODE.
Powered by SurveyMonkey
Check out our sample surveys and create your own now!