What is your gender?
How old are you (in years)?
What is your race?
If you chose 'Other' for racial background how would you describe it?
Are you of Hispanic, Latino or Spanish origin?
What is the highest level of education you have completed?
How much do you weigh (in pounds)?
What is your relationship status?
How many times have you been divorced?
How many romantic relationships have you had?
How many children do you have?
What is your household's annual income (in US dollars)?
Do you have a retirement account?
If you do have a retirement account what percent is in stocks?
What is your housing status?
How much mortgage debt do you have?
How much car-related debt do you have?
How much education debt do you have?
How much credit card debt do you have?
Please list any other sources of debt you have:
If you listed any other sources of debt, how much debt do you have from these other sources?
On average, how many cups of coffee do you have each day?
On average, how many cups of tea do you have each day?
On average, how many cans of caffeinated soda do you have each day?
What is your daily caffeine intake from other sources each day (in mg)?
Do you feel you have a problem with gambling?
How many traffic tickets have you gotten in the last year?
How many traffic accidents have you been in over your life?
How many times in your life have you been arrested and/or charged with illegal activities?
What are your motivations for participating in this experiment?
If you have other motivations, please list them.
In which country do you currently live?
If you responded “other” to the above question, please describe:
Are you currently working or in school?
What is your occupation?
Have you served in the military?
Which best describes the area in which you live?
How many people currently live in your home (excluding yourself)?
Please specify the relationship to the people in your home (check all that apply):
Are any adults living in the home an ESSENTIAL WORKER (e.g., healthcare, delivery worker, store worker, security, building maintenance)?
Do they come home each day?
Are they a FIRST RESPONDER, HEALTHCARE PROVIDER or OTHER WORKER in a facility treating COVID-19?
How many rooms (total) are in your home?
Are you covered by health insurance?
In the 3 months prior to the Coronavirus/COVID-19 crisis in your area, did you or your family receive money from government assistance programs like welfare, Aid to Families with Dependent Children, General Assistance, or Temporary Assistance for Needy Families?
How would you rate your overall physical health?
How would you rate your overall Mental/Emotional health before the Coronavirus/COVID-19 crisis in your area?