Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. Question Title * Name (Required.) OK Question Title * Phone Number (Required.) Cell Home Work OK Question Title * Cell Phone Carrier (Required.) AT&T Boost Cellular South Cricket Wireless MetroPCS Sprint Straight Talk T-Mobile U.S. Cellular Verizon Wireless Virgin Xfinity OK Question Title * What is your e-mail address? (Required.) OK Question Title * Home Address (Required.) OK Question Title * Birthdate (Required.) OK Question Title * Ethnicity (Required.) African American American Indian Asian Caucasian Hispanic Middle Eastern Multi-Racial Other OK Question Title * HIghest Level of Education (Required.) 8th Grade or Less 9th to 11th Grade College Graduate Doctorate Degree High School Grad / GED Masters Degree Some College Some Postgraduate Technical or Vocational OK Question Title * Marital Status (Required.) Committed Relationship Divorced Domestic Partnership Married Other Separated Single Widowed OK Question Title * Political Party Democrat Republican Independent Other Prefer Not To Answer OK Question Title * Household Income $100K to $125K $10K or Less $10K to $20K $125K to $150K $150K to $175K $175K to $200K $1Mil or More $200K to $225K $20K to $30K $225K to $250K $250K to $300K $300K to $350K $30K to $40K $350K to $400K $400K to $450K $40K to $50K $450K to $500K $500K to $750K $50K to $60K $60K to $70K $70K to $80K $750K to $1Mil $80K to $90K $90K to $100K OK Question Title * Employment Status (Required.) Active Military College Student Disabled Full Time High School Student Homemaker Other Part Time Retired Self Employed Unemployed OK NEXT