Lifestyle Research Question Title * 1. First Name: Question Title * 2. Last Name: Question Title * 3. Cell Phone Number: Question Title * 4. City: Question Title * 5. State: Question Title * 6. Email Address: Question Title * 7. In general, how would you describe your attitude about spending time outside? Please use a scale of 0-100, where 0 means you are not interested in spending time outside at all and 100 means you are VERY interested in spending time outside. Please be assured there are no right or wrong answers. Next, we’d like to ask you about recreational activities and interests you might have. Which of the following best describes your engagement in the following recreational activities? (Select ONE for each activity) Question Title * 8. Environmental Restoration/ Conservation Volunteering I have done this activity within the past year I have done this activity more than a year ago I have NOT done this activity but would consider doing it in the future I have NOT done this activity and have no interest in doing it in the future Question Title * 9. Running, jogging, or walking for fitness I have done this activity within the past year I have done this activity more than a year ago I have NOT done this activity but would consider doing it in the future I have NOT done this activity and have no interest in doing it in the future Question Title * 10. Training/classes/seminars related to nature/the outdoors. I have done this activity within the past year I have done this activity more than a year ago I have NOT done this activity but would consider doing it in the future I have NOT done this activity and have no interest in doing it in the future Now think about the various ways you engage in experiences outside. In which of the following types of outside experiences have you participated during the past year? (Select all that apply) Question Title * 11. Classes or workshops Yes No Question Title * 12. Outdoor activity training (e.g. beginner mountain biking, 5K race training, etc.) Yes No Question Title * 13. Weekend trip excursions Yes No USING THE TYPING TOOL QUESTIONS ABOVE TO DETERMINE SEGMENT TIER Question Title * 14. What is your gender? Male Female Other (Gender Fluid, Gender Queer, Gender Non-Conforming, Transgendered, etc) Question Title * 15. What is your age? [SELECT ONE] Under 16 16-21 22-37 38-53 54+ Question Title * 16. Which of the following best describes your ethnicity? Caucasian Hispanic/ Latino African American Asian/ Pacific Islander Mixed race Other Question Title * 17. Which of the following best describes the region in which you live? [SELECT ONE]a. Northwest (Alaska, Washington, Montana, Oregon, Idaho, Northern Nevada, Northern California)b. Southwest & Rockies (Southern California, Southern Nevada, Arizona, Wyoming, Utah Colorado, New Mexico)c. Midwest (North Dakota, South Dakota, Minnesota, Iowa, Wisconsin, Illinois, Michigan, Indiana, Ohio, Kentucky)d. Northeast & Mid Atlantic (New York, Vermont, New Hampshire, Maine, Massachusetts, Rhode Island, Connecticut, Pennsylvania, New Jersey, Delaware, Maryland, West Virginia, Virginia, Washington DC)e. South Central (Nebraska, Kansas, Missouri, Oklahoma, Arkansas, Louisiana, Texas)f. South Atlantic (Mississippi, Tennessee, Alabama, Georgia, Florida, North Carolina, South Carolina) NW SW & Rockies MW NE & Mid Atlantic S. Central S. Atlantic Question Title * 18. We are hoping to speak to people from households who represent various income levels. Which best describes your total annual household income? [SELECT ONE] Less than $24,999 $25,000-49,999 $50,000-74,999 $75,000-99,999 $100,000-149,999 $150,000 or more Question Title * 19. Which of the following best describes your marital status? [SELECT ONE] Single Living with Significant other Married Separated/Divorced/Widowed Question Title * 20. Which of the following best describes your household makeup? If you have children that fit into multiple age ranges, select the range of the eldest child. [SELECT ONE] I do not have any children living in my household I have a child/children living in my household. The eldest child is 0-5 years old I have a child/children living in my household. The eldest child is 6-12 years old I have a child/children living in my household. The eldest child is 13-18 years old I have a child/children but they no longer live in my household Question Title * 21. Which best describes your employment status? [SELECT ONE] Student Work full-time (35 or more hours/week) Work part-time (less than 35 hours/week) Stay at home parent Retired Non working Question Title * 22. Which best describes the type of home you currently live in? READ LIST. SINGLE RESPONSE. Single family home Apartment/ Condominium Townhouse Multi-Family Home/ Duplex Question Title * 23. Which best describes the area in which you currently live? READ LIST. SINGLE RESPONSE. Suburban Urban Rural Done
