Welcome to this survey. Press Next to begin.

Please answer the following few questions regarding your demographics.

What is your gender?

How old are you (in years)?

Input is not a number!

What is the highest level of education you have completed?

Are you currently on medication?

If you answered YES, please give a list of the medication(s) and the daily dosage for each medication you are taking

Congratulations for completing this survey! Press finish to continue.