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We want to be sure that you get included in the studies that are the best fit for you. The more questions you answer, the better we’ll be able to pair you with opportunities to provide feedback and earn money.

Name *

First

Last

Email *

What is your gender? *GenderMaleFemaleOther

Which category below includes your age? *Age18-20 21-29 30-39 40-49 50-59 60 or older

What’s your ethnicity? *

• White
• Black or African-American
• American Indian or Alaskan Native
• Asian
• Native Hawaiian or Other Pacific islander
• Hispanic or Latino
• Other

Are you now married, widowed, divorced, separated, or never married? *StatusMarried Widowed Divorced Separated Never married

What is the highest level of school you have completed or the highest degree you have received? *EducationLess than high school degreeHigh school degree or equivalent (e.g., GED) Some college but no degree Associate degreeBachelor degree Graduate degree

Which of the following categories best describes your employment status? *Employment StatusEmployed, working 1-39 hours per week Employed, working 40 or more hours per week Not employed, looking for work Not employed, NOT looking for workRetired Disabled, not able to work

How much total combined money did all members of your household earn last year? *Household Income$0 – $9,999 $10,000 – $19,999 $20,000 – $29,999 $30,000 – $39,999 $40,000 – $49,999 $50,000 – $59,999 $60,000 – $69,999$70,000 – $79,999$80,000 – $89,999 $90,000 – $99,999 $100,000 or more

Which of the following best describes your current occupation? *Choose OccupationAgriculture, Food and Natural Resources Architecture and Construction Education and Training Business Management and Administration Arts, Audio/Video Technology and CommunicationsFinanceGovernment and Public AdministrationHealth ScienceHospitality and TourismHuman ServicesInformation TechnologyLaw, Public Safety, Corrections and SecurityManufacturingMarket ResearchMarketing, Sales and ServiceScience, Technology, Engineering and Mathematics Transportation, Distribution and Logistics

Country *

• USA
• Canada
• Other

Provinces and territoriesChoose Provinces and TerritoriesAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

StateChoose StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentucky[D]LouisianaMaineMarylandMassachusetts[D]MichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania[D]Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginia[D]WashingtonWest VirginiaWisconsinWyomingDistrict of Columbia

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