What is your gender?
Male
Female
What is your age?
Under 20
20 to 29
30 to 39
40 to 49
50 to 59
60 to 69
70 to 79
80 to 89
90 and over
Where do you currently live?
US-Northeast
US-Midwest
US-Northwest
US-Southwest
US-Southeast
US-Other
Austria
Belgium
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Germany
Greece
Hungary
Ireland
Italy
Latvia
Lithuania
Luxembourg
Malta
Netherlands
Poland
Portugal
Romania
Slovakia
Slovenia
Spain
Sweden
Swiss
United Kingdom
Eastern Europe
Canada-Eastern Provinces
Canada-Western Provinces
South America
Asia
Far East
Australia
Other
Please estimate your annual household income (US Dollars).
Less than $20,000
$20,000 - $29,999
$30,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 or more
What is your marital status?
Engaged
Married
Living together
Single, never married
Widowed
Separated or divorced
Do you have children?
Yes
No
How is your health?
Excellent
Overall Good
Satisfactory
Sometimes I have problems
I'm dealing with health issues most of the time