Hello, thank you for your interest in our study! We are looking for a select number of people in your area to participate in a paid study to better understand your lifestyle, routine, and opinions. Please answer the following questions to see if this study is a good fit.

*1.How old are you?(Required.)

*2.Where do you currently live? (City/ State)(Required.)

*3.How would you describe your household? Please select all that apply.(Required.)

American Indian or Alaska Native

Asian or Asian Indian

Black or African American

Hispanic or Latino

American Indian, Indigenous, or Alaska Native

Middle Eastern or North African

Native Hawaiian or other Pacific Islander

White

Prefer to self-describe

*4.How would you describe your gender identity?(Required.)

*5.What is your marital status?(Required.)

Single

Dating

Married

Widowed

Separated

Divorced

*6.Which best describes your living situation?(Required.)

I live alone/ with pets

I live with my parent(s)

I live with a spouse or partner

I live with roommate(s)

I live with my spouse/ partner and my children

I live with my children

Other (please specify)

*7.If you have children- how many children under the age of 18 live with you? Ages/ genders?(Required.)