Exit this survey >> Question Title * 1. What is your name? Question Title * 2. What is the best phone number for us to reach you on? Question Title * 3. What is your gender? Male Female Question Title * 4. What is your age? Question Title * 5. Which of the following best describes your ethnic background? African American Asian Caucasian Hispanic/Latino Native American Other Question Title * 6. Which of the following best describes your marital status? Single Living with partner Married Divorced, Separated, Widowed Question Title * 7. Do you have any children under the age of 18? Yes No Question Title * 8. Which of the following best describes your employment situation? Employed full-time Employed part-time Self-employed Homemaker Student Retired Not employed Question Title * 9. What is the highest level of education you have had the opportunity to complete? Some High School or less High School Some College Trade/Technical School College Graduate Some Post College Advanced Degree Question Title * 10. Into which of the following ranges does your annual household income fall? Under $30K $30K to $59K $60K to $89K $90K to $119K $120K to $139K $140K to $169K $170K to $199K Over $200K Question Title * 11. What industry do you work in? Next >>