1. Where were you born? (Country)
2. Where do you currently reside? (Country, state, city)
3. What is the primary language you use for communicating?
4. What’s your occupation?
5. How many children under the age of 18 live in your household?
6. What are the ages of the children living in your household?
9. What’s your marital status?
10. What’s your ethnic background?
11. What is your religious affiliation?
12. What is the highest level of education you have received?
13. What’s your average annual household income?
14. What’s your employment status?
15. Do you currently have children under the age of 18 living in your household?
16. What are your hobbies and interests? (Check all that apply)