San Diego Consumer Research Survey

Your participation in our research is confidential and your answers to all questions will also be kept confidential and not for attribution. All of the information obtained in this research is reported in aggregate.

If this is something you would be interested in doing, I’d like to ask a few questions to make sure that we interview a range of adults.

1.Contact Information(Required.)

First and Last Name

City

State

Email

Phone Number

2.What is your age?(Required.)

3.Which of the following best describes your employment status? Please select all that apply.(Required.)

1. Employed by someone else, working 30 hours or more per week

2. Employed part-time by someone else, working less than 30 hours per week

3. Self-employed

4. Full-time student

5. Part-time student

6. Retired

7. Not currently employed, but seeking employment

8. Stay at home guardian/parent/caregiver

9. Other (please specify)