Social Comfort and Internet Use Study

General Information

What is your age? (Please enter your age in years)

Which of the following describes the highest level of education you have completed?

Some high school or less
High school graduate
Attended some college
Associates degree
Bachelors degree
Post-college graduate

With which of the following groups do you most identify?

African American
Asian-American or Pacific Islander
Caucasian
Hispanic/Latino
Native American
Other

What is your gender?

Male
Female
Transgender

What is your marital status?

Single, never married
Married
Widowed
Separated/divorced

If you are a U.S. resident, in which state do you reside? (Choose blank if you are in another country)

Your nation of residence if not the United States: (fill in the blank)

Where do you currently live?

On a farm
In the country, not on a farm
In the suburb of a city
In a small city (less than 50,000 population)
In a medium city (between 50,000 and 100,000 population)
In a large city (between 100,000 and 500,000 population)
In a very large city (over 500,000 population)

Which describes your current economic status?

Employed
Unemployed
Self-employed
Disabled
Homemaker
Student
Prefer not to say

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