1.What is the ZIP Code where you live?

2.What is the ZIP Code where you work? (If you have more than one place of work, please enter the ZIP Code for your primary job. If you are retired or not employed, please skip this question.)

3.What is your employment status?

Employed, full-time

Employed, part-time

Employed, working two or more jobs

Retired

Student, college or university

Student, high school

Unemployed

Other (please specify.)