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2015
January
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What is your gender?
Male
Female
What is your marital status?
Single (Never married)
Married
Domestic partnership
Widowed
Divorced
Separated
Don’t know
What is your favorite hobby or interest?
Auto racing
Biking
Boating
Bowling
Camping
Crafts
Dancing
Fine Arts
Fishing
Gambling
Gardening
Hiking
Hunting
Horseback riding
Kayaking
Martial Arts
Music
Photography
Reading
Sports
Travel
Other
What is your age?
Younger than 18
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 or older
Prefer not to answer
What is the highest level of education you have achieved?
Less than high school degree
High school degree or equivalent (e.g. GED)
Some college but no degree
Associate degree (e.g. AA, AS)
Bachelor's degree (e.g. BA, AB, BS)
Master's degree (e.g. MA, MS, MBA)
Professional degree (e.g. MD, DDS, JD)
Doctorate degree (e.g. PhD)
Please describe your current residence:
Owned by you or someone in household with a mortgage or loan
Owned by you or someone in household free and clear (no mortgage or loan)
Rented
Occupied without payment of rent
Which of the following categories best describes the industry you work in?
Automotive
Advertising
Consulting Services
Education
Entertainment
Financial Services
Government Services
Healthcare
Human Resources
Information Technology
Marketing/Sales
Non-Profit
Pharmaceuticals
Public Relations
Technical Services
Travel
Other
Which category best describes your annual income?
Under $15,000
$15,000 - $29,999
$30,000 - $44,999
$45,000 - $59,999
$60,000 - $74,999
$75,000 - $89,999
$90,000 - $104,999
$105,000 - $119,999
$120,000 or more
Prefer not to answer
How many children do you have?
No Children
1 child
2 children
3 children
More than 3 children
How would you describe yourself?
Democratic
Republican
Independent
None of the above
Please select your Hobbies and Interest
Auto racing
Biking
Boating
Bowling
Camping
Crafts
Dancing
Fine Arts
Fishing
Gambling
Gardening
Hiking
Hunting
Horseback riding
Kayaking
Martial Arts
Music
Photography
Reading
Sports
Travel
Other
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