* 1. What's your name?

* 2. What's your phone number? (so we can contact you about participating)

* 3. Are you male or female?

* 4. Which category below includes your age?

* 5. What is the highest level of school you have completed or the highest degree you have received?

* 6. Are you now married, widowed, divorced, separated, or never married?

* 7. Are you currently employed?

* 8. If currently employed, what is the job title for your current position? If not, what is the job title for the last position you held?