Demographics: Key Questions Project
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Date
*
-
Month
-
Day
Year
Date
Age
*
Please type your current age
Gender
*
Please Select
Male
Female
Nonbinary
Other
If other, please describe below
If other, please specify.
Interview Location
*
Occupation
*
Education
*
Please Select
No formal education
Primary/Elementary school
Lower secondary (e.g., middle school, junior high)
Upper secondary (e.g., high school, A-levels, GED)
Vocational/Technical education
Some college or university (no degree)
Associate degree or equivalent
Bachelor’s degree or equivalent
Postgraduate diploma or certificate
Master’s degree or equivalent
Doctorate (PhD) or equivalent
Other (please specify)
Nationality
*
Religious or Spiritual Affiliation
*
Please Select
Agnostic
Atheist
Buddhist
Christian (e.g., Catholic, Protestant, Orthodox)
Latter Day Saints
Hindu
Jewish
Muslim
Sikh
Spiritual but not religious
Indigenous or Tribal belief system
Other (please specify)
Prefer not to say
If other, please specify.
Have you traveled outside of your home country?
*
Yes
No
If yes, to how many?
Socioeconomic background
*
Please Select
Low income
Lower-middle income
Middle income
Upper-middle income
High income
Prefer not to say
Other (please specify)
Please select the socioeconomic background that best describes your upbringing
Current Socioeconomic Status
*
Please Select
Low income
Lower-middle income
Middle income
Upper-middle income
High income
Prefer not to say
Other (please specify)
Please select your current Socioeconomic status
If you selected other for either option, please specify.
Political or Social outlook
*
Please Select
Apolitical / Not interested in politics
Centrist / Moderate
Conservative (e.g., traditionalist, right-leaning)
Liberal (e.g., progressive, left-leaning)
Libertarian / Classical liberal
Socialist / Social democrat
Communist / Marxist
Anarchist / Anti-authoritarian
Religious conservative / Theocratic
Green / Environmentalist
Nationalist / Populist
Technocratic / Pro-science governance
Humanist / Secular progressive
Feminist / Gender justice-focused
Anti-globalist / Sovereigntist
Prefer not to say
Other (please specify)
If other, please specify.
Submit
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