54 DB OK Electronic Device Study - Nationwide - January, 2017 11% of survey complete. Question Title * 1. Full Name Question Title * 2. E-Mail Address Question Title * 3. Phone number to reach you Question Title * 4. [OPTIONAL] What is your age? Question Title * 5. Where do you live? City State Question Title * 6. What is your current employment status? Working part time Working full time Not working, and looking for a new job Nor working, and not looking In school full time In school part time Retired Homemaker Other Question Title * 7. Which of the following best describes your ethnic background? Asian Black / African American Hispanic or Latino Middle Eastern Native American White Prefer not to say Other (please specify) Question Title * 8. What is the highest level of education you have completed? Before higher school graduation High school graduate (or equivalent) Some college (1-4 years, no degree) Bachelor’s degree (BA, BS, AB, etc) Master’s degree (MA, MS, MENG, MSW, etc) Professional school degree (MD, DDC, JD, etc) Doctorate degree (PhD, EdD, etc) Other (please specify) Question Title * 9. Which of the following best describes your household family composition? Living alone Living with a roommate Living with your spouse or partner Living with your child or children Living with spouse and partner in the same home as your children Living with other family member(s) (not children) Question Title * 10. What is your annual household income before taxes? $0 - $20,000 $20,001 - $45,000 $45,001 - $70,000 $70,001 - $100,000 More than $100,000 Prefer not to answer Question Title * 11. What best describes your location? Urban Suburban Rural Question Title * 12. Please indicate how many of the following people live in your household, and what their relationship to you is: 0 people 1 people 2+ people Adult roommate (age 18+) Adult roommate (age 18+) 0 people Adult roommate (age 18+) 1 people Adult roommate (age 18+) 2+ people Adult significant other (age 18+) Adult significant other (age 18+) 0 people Adult significant other (age 18+) 1 people Adult significant other (age 18+) 2+ people Other adult age 18+ (e.g. parent, sibling, etc.) Other adult age 18+ (e.g. parent, sibling, etc.) 0 people Other adult age 18+ (e.g. parent, sibling, etc.) 1 people Other adult age 18+ (e.g. parent, sibling, etc.) 2+ people Child under 17 or younger Child under 17 or younger 0 people Child under 17 or younger 1 people Child under 17 or younger 2+ people Question Title * 13. What is your country of birth? Next