389 DB OK Insurance Study - September 2016 Question Title * 1. Full Name First Name Last Name Question Title * 2. E-Mail Address Question Title * 3. Phone number to reach you Question Title * 4. In what state or U.S. territory do you live? Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia (DC) Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Question Title * 5. What is your age? (optional) Question Title * 6. What is the highest level of education that you have completed? No formal education Some High school High school diploma Trade/technical/vocational school Some college College (Bachelor’s Degree) University or above (Master’s or Doctoral Degree) Post Graduate Degree (please specify) Question Title * 7. What is your current employment status? employed full time away from home employed part time away from home employed full time at home stay at home/retired a full time/part time College or Graduate Student currently unemployed, looking for a job We are interested in talking to a mix of people who have experience participating in market research studies, and those who do not. Question Title * 8. Have you ever participated in a group discussion, personal interview, or telephone survey for market research purposes? Yes No Question Title * 9. Have you or has anyone in your household ever been employed by any of the following? An advertising/PR company Marketing or user Research Company Product consultant Insurance company (e.g., State Farm, Geico, Nationwide, Farmers, USAA, Progressive, Allstate) None of the above Next