2) In order to classify potential candidates for future research, we have a few questions for you:
Your current martial status? * --- Single, never married Married or common law Separated or divorced or widowed
What is the highest level of education you have completed?* --- Some high school or less Graduated high school Post-secondary technical training Some college or university College diploma Bachelor Degree Master Degree PhD
Which of the following best describes your current employment status?* --- Working full-time Working part-time Self-employed Unemployed Student Homemaker Semi-retired Retired
If you answered that you are employed, what is your occupation?
What is the approximate income of your household?* --- Under $20,000 $20,000-$39,999 $40,000-$59,999 $60,000-$79,999 $80,000-$99,999 $100,000-$149,999 $150,000 or more
Which of the following best describes your household composition?* --- Single Adult Couple Family with children over 18 Family with children under 18
Which of the following best describes your ethnic background?* --- Caucasian/White Chinese Filipino South Asian (East Indian, Indo-Canadian) Middle Eastern African Canadian African American Hispanic/Latino First Nations Others Asian Others
Do you currently smoke cigarettes * --- Yes No
Do you own any pets? * --- Dog Cat Other None of the above
How many vehicles does your household own or lease?* --- 0 1 2 3 4+
Which of the following do you consider to be your primary bank?* --- BMO Bank of Montreal Bank of Nova Scotia CIBC Royal Bank TD Canada Trust ING PC Financial HSBC Desjardins National Bank Other
Which of the following do you consider to be your primary bank?* --- JPMorgan Chase Bank of America Wells Fargo Citigroup Goldman Sachs Morgan Stanley U.S. Bancorp PNC Financial Services Capital One TD Bank, N.A. Other
What city do you live in? *
What are the first three digits of your postal code?*
Telephone*
