* 1. Name

* 2. Gender

* 3. Age

* 4. Where were you born?

* 5. Where do you live?

* 6. What is the name of the place where you live?

* 7. Is the place you live a city, a town or a village

* 8. Highest educational level completed

* 9. What is your occupation?

* 10. Are you self-employed?

* 11. What is the name of the organization you work for?

* 12. What is your job title?

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