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Name
*
First
Last
Email
*
Age
Age
Under 18
18 – 24
25 – 34
35 – 44
45 – 54
55 – 64
65 +
Gender identity
Gender identity
Male
Female
Binary
Non‑binary
Transgender
Prefer not to say
Marital status
Marital status
Single (Never married)
Married
Unmarried
Divorced
Separated
Widowed
Highest level of education completed
Highest level of education completed
Less than high school
High school diploma / GED
Some college, no degree
Associate degree (2‑year)
Bachelor’s degree
Master’s degree
Professional or doctorate degree
Employment status
Employment status
Employed full‑time
Employed part‑time
Self‑employed
Out of work and looking for work
Out of work and not looking for work
Student
Homemaker
Retired
Unable to work / Disabled
Annual household income
Annual household income
Under $30k
$30k– $49,999
$50k– $74,99
$75k–$99,999
$100k–$149,999
$150k +
Race / Ethnicity
Race / Ethnicity
Asian
Black or African American
Hispanic or Latino
Native American or Alaska Native
Native Hawaiian or Pacific Islander
White
Other (please specify)
Prefer not to say
How many people live in your household?
How many people live in your household?
1
2
3
4
More than 4
Number of children under 18 in the household
Number of children under 18 in the household
None
1
2
3
More Than 3
Location / region
Location / region
Africa
Asia
Europe
North America
South America
Oceania / Australia
Middle East
Caribbean
Job title / role
Job title / role
Entry‑level
Mid‑level
Senior‑level
Director
C level
Upper Management
Middle Management
Junior Management
Trained Professional
Skilled Labourer
Consultant
Administrative Staff
Temporary Employee
Support Staff
Researcher
Student
Self‑employed/Partner
Others
Industry
Industry
Agriculture / Forestry / Fishing / Hunting
Arts, Entertainment & Recreation
Broadcasting
Computer & Electronics
Construction
Education
Finance & Insurance
Government & Public Administration
Health Care & Social Assistance
Homemaker
Hotel & Food Services
Information Services & Data Processing
Legal Services
Manufacturing
Military
Mining
Other Information Industry
Publishing
Real Estate
Religious
Rental & Leasing
Retail
Scientific or Technical Services
Software
Technology
Telecommunications
Transportation & Warehousing
Utilities
Wholesale
Other Industry
Department
Department
Administration
Business Development
Compliance / Legal
Corporate Strategy / Planning
Creative / Design
Customer Experience (CX)
Customer Service / Support
Data & Analytics
Engineering
Facilities / Maintenance
Finance / Accounting
Human Resources (HR)
Information Technology (IT)
Logistics / Supply Chain
Manufacturing / Production
Marketing
Operations
Procurement / Purchasing
Product Management
Project Management
Public Relations / Communications
Quality Assurance (QA)
Research & Development (R&D)
Risk Management
Sales
Security / Safety
Training / Learning & Development
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