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What is your Nationality?
   
Dual Nationality?
   
 
 
 
What is your marital status?
 
Single
 
Married
 
Separated
 
Divorced
 
Widow
 
 
 
What is your Gender?
 
Male
 
Female
 
 
 
What is your native language?



 
Arabic
 
English
 
French
 
Spanish
 
Hindi
 
Urdu
 
Italian
 
Pilipino
 
Other
 
 
What other languages do you speak?
 
Arabic
 
English
 
French
 
Spanish
 
Hindi
 
Urdu
 
Italian
 
Pilipino

 
 
 
What is your age Group?
 
Under 21
 
21 to 34
 
35 to 44
 
45 to 54
 
55 or older
 
 
 
What is your job title?
   
 
 
 
Which of the following best describes your role in the organization?
 
Manager/supervisor higher than first level
 
First-level supervisor
 
Not a manager or supervisor
 
 
 
How long have you worked for the company?
 
Less than one year
 
One year to less than two years
 
Two years to less than five years
 
Five years to less than ten years
 
Ten years or more
 
 
 
What is your total annual income from this job, including overtime and bonuses?
 
Less than $10,000
 
$20,000 to less than $30,000
 
$30,000 to less than $50,000
 
$50,000 to less than $75,000
 
$75,000 or more
 
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