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* 1. Contact Information

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* 2. What is your age?

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* 3. What is your DOB?

Date

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* 4. What is your gender?

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* 5. What is your ethnicity? (Select all that apply)

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* 6. First, when was the last time you participated in any type of market research survey, other than a political poll or census survey?

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* 7. On what topics?

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* 8. What was the last grade of school you completed?

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* 9. Which of the following best describes your marital status?

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* 10. Are you the parent or guardian of any child under 18 living in your household at least part time?

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* 11. Are you planning to have a child in the next year?

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* 12. Are you currently employed…

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* 13. If working, can you please tell me the following info:

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* 14. Can you tell me where all the other working members of your household are employed including your spouse/partner and any other adults

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* 15. Which of the following best describes your total HH income, before taxes?

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* 16. What political party do you identify with, if any?

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* 17. How would you describe your political leanings?

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* 18. Have you been vaccinated against Covid-19?

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* 19. We are interested in the types of content that you watch, read or listen to, and the platforms you use to find that content. 
Please tell me which of the following, if any, you have used to watch videos in the past three months.

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* 20. Which, if any, of these sources have you used to watch online video content in the past 3 months?

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* 21. In the past three months, which of the following categories of online video content have you watched?

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* 22. I’m going to read you a series of statements about how you use social media sites in your life. For each one, please give me a rating of 1 to 4, where: 
1 means “strongly disagree” 2 means “somewhat disagree” 
3 means “somewhat agree” 4 means “strongly agree” 

I use social media...

  Strongly disagree Somewhat disagree Somewhat agree Strongly agree
…to find information about news and other current events
…to keep in touch with family and friends
…to share my opinions and beliefs
…to influence others
…to find people who have interests similar to me
…to find information about movies, TV stations or shows
…to dig deep into a subject I’m interested in

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* 23. How important would you say it is to you to learn new things and continue expanding your knowledge? Would you say it is…

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* 24. How much do you agree or disagree with the following statement: “I consider myself quite knowledgeable about most things.”

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* 25. Here is a list of personal values that may or may not act as guiding principles and/or give meaning to your life. For each one, please give a rating of 1 to 3 where: 
1 is “not at all important” 
2 is “of average importance” 
3 is “very important” 

  Not at all important Of average importance Very important
Adventure - Seeking adventure and risk
Ambition - Aspiring to get ahead
Curiosity - Wanting to explore and learn about new things
Freedom - Having freedom of action and thought
Knowledge - Being well educated
Power - Having control over people and resources
Self-reliance - Being self-reliant, choosing my own goals
Social responsibility - Working for the welfare of society
Social tolerance - Respecting ethnic, religious, and racial differences
Status - Achieving a higher social status
Wealth - Having material possessions, a lot of money
Working hard - Always giving my best effort

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* 26. We are looking for people who can do an interview alone or with their partner or spouse. Which are you able to do?

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* 27. In order to participate, you would need to bring in proof of vaccination. Are you comfortable doing that?

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