Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. Question Title * What is your...? OK Question Title * At what phone number is best to reach you? OK Question Title * At what email address is best to reach you? OK Question Title * In what city and state are you located? OK Question Title * Which one of the following best describes your current employment status? a. Employed full-time by someone else, working 30 hours or more per week b. Employed part-time by someone else, working less than 30 hours per week c. Self-employed, owning and managing my own business d. Not currently employed e. Retired f. Student g. None of these apply OK NEXT