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$125 Online Study
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1.
Although not required to do the study, do you have a working webcam on your laptop or computer?
(Required.)
Yes
No
2.
Contact Information
Name
Phone
E-Mail
Gender
Age
City, State
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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 **
(Required.)
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
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4.
Household Income
(Required.)
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
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5.
Employment Status
(Required.)
Full time
Part time
unemployed
homemaker
retired
student
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6.
Current or Previous
(Required.)
Occupation
Industry
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7.
Ethnic Background
(Required.)
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
*
8.
How do you descibe the place you live?
(Required.)
Urban
Rural
Suburban
Current Progress,
0 of 18 answered