1. Please fill in the following questions. Answer all questions.

2. Gender

4. Ethnicity

5. Household Income (Annual)

6. What is the highest level of education you have completed?

7. Do you or anyone in your household work for a market research company?

8. Marital status?

9. How many people including yourself live in your household?

Thank you for applying to joing the Consumer Science panel. You will be contacted with an email from surveys@consumerscience.com for a verification step when we have a survey opportunity for you.

Thank you!!!!!!!