Water Bottle Survey

Demographic Information

Question Title

* 1. What US state do you currently live in?

Question Title

* 2. Do you live in a rural area (outside cities and towns), suburban area (a separate residential community within commuting distance of a city), or urban area (a city)?

Rural

Suburban

Urban

Question Title

* 3. Please select your gender below

Male

Female

Question Title

* 4. Do you live in an apartment or a house?

Apartment

House

Other (please specify)

Question Title

* 5. How many people live in your household?

1

2

3

4

5

6

7+

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* 6. How old are you?

15 and under

16 - 20

21 - 25

26 - 30

31 - 35

36 - 40

41 - 45

46 - 50

51 - 55

56 - 60

61 - 65

66 and over

Question Title

* 7. How old are you?

15 and under

16 - 20

21 - 25

26 - 30

31 - 35

36 - 40

41 - 45

46 - 50

51 - 55

56 - 60

61 - 65

66 and over