Caregivers Study - English Pre-screener to be considered Question Title * 1. Address Name City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Social Media Profile Link Email Address Phone Number OK Question Title * 2. Are you Hispanic or Latino? Yes No OK Question Title * 3. Are you male or female? Male Female OK Question Title * 4. What is your age? Less than 21 21-24 25-29 30-34 35-44 45-54 55 or older OK Question Title * 5. What is your country of birth? OK Question Title * 6. How many years have you lived in the US? OK Question Title * 7. Which language do you speak most often when you are at home? Spanish English OK Question Title * 8. In which language do you most frequently consume content on social networks? Mainly in Spanish English OK Question Title * 9. Mention one ad on TV or social media that has called your attention. Why does this ad call your attention? OK Question Title * 10. Do you or does anyone in your immediate family, work in any of the following industries or professions? Marketing, advertising, public relations or marketing research firm or division of a company Graphic design News media or journalism organization, including newspaper, television, radio or publishing Law enforcement Legal industry Auto insurance Local, state or federal government None of the above OK Question Title * 11. Are you a licensed driver? Yes No OK Question Title * 12. Have you participated in a focus group in the past six months? Yes No Don’t know/refused OK Question Title * 13. How many miles do you personally drive, on average, during a week? Less than 10 miles 10 miles to 25 miles 26 miles to 50 miles More than 50 miles OK Question Title * 14. Which of the following best describes your current marital status? Single, never married Married/living with partner/civil union Divorced/separated/widowed OK Question Title * 15. Do you have any children under the age of 3? Yes No OK NEXT
