Exit this survey >> Home Appliances Information 1 Question Title * 1. What is your FIRST and LAST name? Question Title * 2. What is the best phone number for us to contact you on? Question Title * 3. Email address: Question Title * 4. What city (town) and State do you currently reside in? City State Question Title * 5. What is your age? Question Title * 6. Which of the following best describes your ethnic background? African American Asian Caucasian Hispanic/Latino Native American Other Question Title * 7. Which of the following best describes your marital status? Single Married Living with a partner Divorced/Widowed/Separated Other Question Title * 8. Do you have children under the age of 18 living at home with you? Yes No Question Title * 9. What is the highest level of education you have had the opportunity to complete? Some high school Graduated high school Trade/specialist school Some college Graduated college Postgraduate degree Question Title * 10. Which one of the following categories includes your total annual household income before taxes? $39,000 or below $40-59,000 $60-74,000 $75-99,000 $100-124,000 $125-149,000 $150,000 OR OVER Question Title * 11. Which of the following best describes your employment situation? Employed full-time Employed part-time Self-employed Not currently employed Homemaker Student Question Title * 12. What industry do you work in? Question Title * 13. What is your job title (if applicable)? Next >>