Please verify your information – Strategic Research Associates

Name*

First Last

Email*

Please enter the email you have with us.

Enter Email Confirm Email

Best Contact Phone Number*

What is the best number to contact you at via phone?

What year were you born*

Enter the year you were born, like 1999 or 1972.

Please enter a number from 1900 to 2050.

Gender*

Which best describes the gender to which you most identify?

Which County*

Which US County, Parish, or Township do you live in?

Race/Ethnicity*

What is your race or ethnicity? If you are mixed race, select all races you represent.

African American
Asian
Caucasian
Hispanic or Latino
Middle Eastern
Native American or Alaskan Native
Pacific Islander or Native Hawaiian
Some Other Race

Education*

Which best describes the highest level of education you have had the opportunity to complete?

Political Leaning*

Typically do you consider yourself more of a Democrat, Republican or something else? Even if you don't vote, how do you think about public policy?

Elections Voting In

What Elections do you usually vote in? Select all that apply.

General Elections (usually held in November)
Primary Elections
Local Elections
Special Elections
Not Registered or Do Not Vote
Not Eligible to Vote

Occupations*

Do you work in, or have any training in any of the following industries or fields? Select all that apply.

Employment Status*

Which best describes your current employment status?

Household income*

Which category best represents your family's total household income, before taxes annually?

Payment preference*

How would you like to receive your participation incentive? Digital payments are sent to the email address we have on file for you.

Address*

Please enter your mailing address so we can mail you your study information in addition to the email information you will receive from us. Include your CITY, STATE, and ZIP CODE as well.

Phone

This field is for validation purposes and should be left unchanged.