Date of birth
*
Phone number
*
What is your gender?
*
Female Male Gender diverse
In what city do you live in?
*
Zip code/Post code
What is your current job title?
*
In what industry do your work in?
*
Agriculture Automotive Aviation Banking, accountancy, insurance and other financial services Beauty/Cosmetics Business, consulting and management Charity and voluntary work Construction Creative arts and design Culture Education Energy and utilities Engineering and manufacturing Environment Food and drink Government, public services and administration Healthcare Hospitality and events management Information technology (IT) and computer services Law Law enforcement and security Leisure and sport Marketing, advertising and PR Media and entertainment Other/None of the above Professional business services Real Estate Recruitment and HR Retail Sales Science and pharmaceuticals Social care Technology Telecommunication Tourism Transport and logistics
What is your total annual household income (after tax)?
*
Below 30,000 30,000 – 50,000 50,000 – 70,000 70,000 – 100,000 Above 100,000
What is your highest completed education level?
*
Associate degree Bachelor's degree Doctorate (PhD) High school diploma or GED Master's degree Professional degree Some college
What is your marital/relationship status?
*
Cohabiting Divorced Living with housemate(s) Living with parents Married Single Widowed
Do you have children?
*
Yes No
How many children do you have?
*
1 2 3 4 5 More than 5
What best describes your ethnicity?
*
African African American Any other Black/African/Caribbean background Any other Mixed/Multiple ethnic background Any other white background Arab Asian Bangladeshi Black British Caribbean Chinese Gypsy or Irish Traveller Hispanic/Latino Indian Mixed White and Asian Mixed White and Black African Mixed White and Black Caribbean Pakistani White American White British White European White Irish Other
What best describes your ethnicity?
Si vous êtes un humain, ne remplissez pas ce champ.
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