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 - 40,000
40,000 - 50,000
50,000 - 60,000
60,000 - 70,000
70,000 - 80,000
80,000 - 90,000
90,000 - 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?
*
American Indian or Alaskan Native
Black or African American
Native Hawaiian or other Pacific Islander
White
Other
Specify your ethnicity:
*
Si vous êtes un humain, ne remplissez pas ce champ.
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