What is your current marital status?
Single (never been married)
Married
Separated
Widowed
Divorced
Domestic Partner
How would you describe your current employment status?
Employed full-time
Employed part-time
Self-employed
Retired
Unemployed
A homemaker
A student
Disabled
Other
What is the highest level of education you yourself completed?
Grade school or less
Some high school
High school graduate
Vocational, trade school, or technical
training beyond High School
Some college
College graduate
Post-graduate studies or degree
(beyond college degree)
Professional degree
In what year were you born?
Which one of the following categories includes your household's gross annual
income? (yes, you may select "refused," but it may diminish your
chances of being selected for survey and focus group participation)
Under $25,000
$25,000 to just under $35,000
$35,000 to just under $45,000
$45,000 to just under $55,000
$55,000 to just under $75,000
$75,000 to $100,000
Over $100,000
Refused
Do you
currently: (Check all that apply)
Own a business?
Operate a business
from your home?
Own an Internet
based business?
Please note: this may take a few minutes. Only click
on the button once.
