Reading Study #1650 Your data will only be used for market research purposes and we will not sell participant information. Question Title * 1. Name Question Title * 2. Address Question Title * 3. Email Question Title * 4. Phone Question Title * 5. Gender Male Female Non-binary Prefer to self describe (please specify) Question Title * 6. Age Question Title * 7. We are gathering the opinions of people from different backgrounds, please indicate which category best describes your ethnic or racial background? American Indian or Alaska Native (e.g., Aztec, Blackfeet Tribe, Mayan, Native Village of Barrow Inupiat Traditional Government, Navajo Nation, etc.) Asian or Asian American (e.g., Chinese, Filipino, Indian, Japanese, Korean, Vietnamese, etc.) Black or African American (e.g. African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc. ) Hispanic, Latin, or Spanish origin (e.g., Brazilian, Columbian, Cuban, Dominican, Mexican or Mexican American, Puerto Rican, Salvadoran, etc. ) Middle Eastern or North African (e.g., Lebanese, Iranian, Egyptian, Moroccan, Israeli, Palestinian, etc.) Native Hawaiian or Pacific Islander (e.g., Chamorro, Fijian, Marshallese, Native Hawaiian, Samoan, Tongan, etc.) White or Caucasian (e.g., German, Irish, English, Italian, Polish, French, etc. ) Other (please specify) Question Title * 8. Which of the following best describes your current employment status? Self Employed/Business Owner Employed full time Employed part time Homemaker Student Not employed/looking for work Retired Next
