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Date Of Birth *
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Country *
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White
Hispanic or Latino
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Education Details
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Nursery school to 8th grade
Some high school, no diploma
High school graduate, diploma or the equivalent (for example: GED)
Some college credit, no degree
Trade/technical/vocational training
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What is the highest degree or level of school you have completed? If currently enrolled, highest degree received.
Household Composition
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Single, never married
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Household Income
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Professional Details
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Employed for wages
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Out of work and looking for work
Out of work but not currently looking for work
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Employment Status
Occupation
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Less than 15,000
15,000-24,999
25,000-49,999
50,000-74,999
75,000-99,999
100,000-149,999
150,000-199,999
200,000-249,999
250,000 or greater
Annual income before taxes ?
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Company Owner/Founder
Partner
Board Director
C-Level Executive
Senior Manager
Middle Manager/Department Manager
Junior Manager/Supervisor/Team Leader
Non-Managerial Employee
None of the above
What is your job title, level or respnosibility ?
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Carpenting/Electrical Installations/VVS
Banking/Financial
Consumer Packaged Goods
Government/Public Sector
Healthcare
Hospitality/Tourism
Human Resources
Energy/Utilities/Oil and Gas
Legal/Law
Advertising
Accounting
Manufacturing
Real Estate/Property
Food/Beverage
Retail/Wholesale Trade
Environmnetal Services
Computer Reseller (Software/Hardware)
Telecommunications
Transportation
Information Technology/IT
Agriculture/Fishing
Consumer Electronics
Architecture
Automotive
Computer Hardware
Pharmaceuticals
Fashion/Apparel
Education
Marketing/Sales
Bio-Tech
Media/Entertainment
Military
Non Profit/Social Services
Personal Services
Printing Publishing
Public Relation
Security
Shipping/Distribution
Sales
Aviation
Brokerage
Chemicals/Plastics/Rubber
Communication/Information
Computer Software
Construction
Consulting
Engineering
Insurance
Internet
Market Research
Other
I don't work
Which of the following best describes the industry that you work in ?
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1 to 49 employees
50 to 249 employees
250 to 499 employees
500 to 999 employees
1,000 to 1,999 employees
2,000 to 4,999 employees
5,000 to 9,999 employees
10,000 to 49,999 employees
50,000+ employees
Approximately how many employees work at your organization ?
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IT Hardware
IT Software
Printers and Coplers
Financial Department
Human Resources
Office Supplies
Corporate Travel
Telecommunication
Sales
Shipping
Operations
Legal Services
Marketing/Advertising
Security
Food Service
Auto leasing/Purchasing
Other
Please choose in which departments you work within your organization?
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Under 100,000
100,000-249,999
250,000-499,999
500,000-999,999
1 Million-4.99 Million
5 Million-9.99 Million
10 Million-24.99 Million
25 Million-49.99 Million
50 Million-99.99 Million
100 Million-249.99 Million
250 Million-499.99 Million
500 Million-999.99 Million
1 Billion or more
I don't work
Approximately what is the annual revenue for your organization ?
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