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Name

First Name

Last Name

Phone

(###)

###

####

Birth year

Country

Canada

USA

Other

Postal Code or Zip Code

Please enter your 6 digit postal code (A1A 1A1) or 5 digit zip code:

More info

These questions are all optional but help to target future surveys invitations.

Which gender do you most identify with?

Do you have any children?

Which of the following best describes your employment status?

What is your approximate total household income (before taxes)?

Finally please share any other information about yourself: