1. Please indicate your gender.
	Male Female

	2. Please select the category that includes your age.
	17 or younger 18-24 25-34 35-44 45-54 55-64 65 or older

	3. Location
	Postal Code

	4. Which one of the following best describes your marital status?
	Single, never married Married Living with partner Separated Divorced Widowed Prefer not to answer