1.What is your gender identity?

Man

Woman

Non-binary

Prefer to self-describe (please specify)

2.What is your age?

18-24

25-34

35-44

45-54

55-64

65 and older

3.Which race or ethnicity best describes you? (Select all that apply)

American Indian or Alaska Native

Asian or Asian-American

Black or African-American

Hispanic or Latino/a

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

Another race (please specify)

4.What is the last grade of school you completed?

Did not complete high school

High school or G.E.D.

Associate's degree

Some college

College graduate

Post graduate degree

5.What state do you reside in?

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of Columbia (DC)FloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsin

6.Are you now married, widowed, divorced, separated, or have you never been married?

Married or in a domestic partnership

Widowed

Divorced

Separated

Never married

7.Do you have children of any of the following ages? (Select all that apply)

Under 18 years old

18 years or older

None of the above

8.Which of the following best describes you?

Employed – working full time

Employed – working part time

Not employed – student

Not employed – retired

Not employed – looking for paid work

Not employed – not looking for paid work

9.My total family income last year was:

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

Between $75,000 and $99,999

Between $100,000 and $150,000

Over $150,000