14-1132 Question Title * 1. What is your first name? What is your last name? First Name Last Name Question Title * 2. What is the best daytime and evening phone number to reach you? Daytime # Evening # Question Title * 3. What is your age? Question Title * 4. In what city do you live? Question Title * 5. What is your gender? Female Male Question Title * 6. What is your current employment status? Employed full time Employed part time Self Employed Homemaker Student Retired Unemployed, seeking work Question Title * 7. What is your occupation? What industry do you work in? (If you are currently not working, please state your most recent occupation) Occupation Industry Question Title * 8. What is your ethnic background? African American/Black Asian/Pacific Islander Caucasian Hispanic/Latino Other Question Title * 9. What is your approximate total annual household income? Less than $25,000 $25,000 to $35,000 $35,000 to $50,000 $50,000 to $60,000 $60,000 to $85,000 $85,000 to $100,000 $100,000 to $125,000 $125,000 to $150,000 $150,000 to $175,000 $175,000 to $200,000 More than $200,000 Question Title * 10. Do you participate in any outdoor activities, such as camping, hiking, running, biking, etc? Yes No Next