$125 Online Study Survey

Question Title

* 1. Although not required to do the study, do you have a working webcam on your laptop or computer?

Yes

Question Title

* 2. Contact Information

Name

Phone

E-Mail

Gender

Age

City, State

Question Title

* 3. Which of the following decisions have you helped, or do you expect to help, someone ELSE (e.g. parent, spouse, or child) make?

BE HONEST - WE NEED A MIX OF RESPONSES

Deciding whether to change how a loved one (e.g. spouse, parent) lives due to aging (e.g. adding home health assistance, choosing between moving in with a family member or moving into a senior living community, etc.)

Setting up a will or trust (e.g. hire a lawyer, use do-it-yourself legal software, select an executor, etc.)

Selecting treatment plans for an illness or injury (e.g. review options with physician, research treatments with friends or family, etc.)

None of the above

Question Title

* 4. Household Income

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

Between $75,000 and $99,999

Between $100,000 and $150,000

Over $150,000

Question Title

* 5. Employment Status

Full time

Part time

unemployed

homemaker

retired

student

Question Title

* 6. Current or Previous

Occupation

Industry

Question Title

* 7. Ethnic Background

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Another race

Question Title

* 8. How do you descibe the place you live?

Urban

Rural

Suburban

$125 Online Study

Question Title

* 1. Although not required to do the study, do you have a working webcam on your laptop or computer?

Question Title

* 2. Contact Information

Question Title

* 3. Which of the following decisions have you helped, or do you expect to help, someone ELSE (e.g. parent, spouse, or child) make?**BE HONEST - WE NEED A MIX OF RESPONSES **

Question Title

* 4. Household Income

Question Title

* 5. Employment Status

Question Title

* 6. Current or Previous

Question Title

* 7. Ethnic Background

Question Title

* 8. How do you descibe the place you live?

* 3. Which of the following decisions have you helped, or do you expect to help, someone ELSE (e.g. parent, spouse, or child) make?

BE HONEST - WE NEED A MIX OF RESPONSES