What is your primary computing platform?
-- Select -- DOS Macintosh OS2 Unix PC running Unix Windows Terminal/vt100 WebTV Do not know Other
How long have you been using the Internet (including using e-mail, gopher, ftp, etc.)?
How did you find about this site? (Please check all that apply.)
Who pays for your Internet access?
During an average week, most of your professional correspondence (postal mail or e-mail) is with which of the following:
Date of Birth
Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Year 2025
What is your current marital status?
Note: This is a sensitive question that can help Internet developers to understand the needs of current Web users--it is not intended to offend.
Please indicate your current household income in U.S. dollars
-- Select -- Under $10,000 $10,000 - $19,999 $20,000 - $29,999 $30,000 - $39,999 $40,000 - $49,999 $50,000 - $74,999 $75,000 - $99,999 $100,000 - $150,000 Over $150,000 Rather not say
How many children under 16 years old live in your household?
Are you disabled or impaired?
Where are you located?
-- Select -- Africa Antarctica Asia Oceania (Australia, New Zealand, etc.) Europe USA Canada Mexico Central America South America Other
Which of the following best describes the area you live in?
What is your primary language (i.e., the one you speak most of the time)?
Are you currently registered to vote?
Please indicate the highest level of education completed.
Which of the following categories best describes the industry you primarily work in ?
-- Select -- Agriculture, Forestry, Fishing and Hunting Utilities Computer and Electronics Manufacturing Wholesale Transportation and Warehousing Software Broadcasting Other Information Industry Real Estate, Rental and Leasing Primary/Secondary (K-12) Education Health Care and Social Assistance Hotel and Food Services Legal Services Homemaker Religious Mining Construction Other Manufacturing Retail Publishing Telecommunications Information Services and Data Processing Finance and Insurance College, University, and Adult Education Other Education Industry Arts, Entertainment, and Recreation Government and Public Administration Scientific or Technical Services Military Other
Which of the following best describes your role in industry?
-- Select -- Upper Management Middle Management Junior Management Administrative Staff Support Staff Student Trained Professional Skilled Laborer Consultant Temporary Employee Researcher Self-employed/Partner Other
The organization you work for is in which of the following:
Please indicate which of the following are sources of revenue for your organization:
What is your organization's total budget for this year, from all sources?
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