Travel Day: Friday, April 23, 2021

The next section is about the demographics of your household. You will be asked to provide some information about yourself and the other members of your household.

Your responses are entirely confidential. Your personal information will be protected, and any identifying information will be deleted from the data prior to analysis. Click here to View our Privacy Statement.

Please fill in the following table with a way of identifying each person in your household. This will make it easier to refer to them in questions later in the survey. You could use a name, nickname, initials, or familial relationship ('husband', 'son 12 years', etc.).

Household Member #1 IDYou
Before proceeding, please ensure that all information provided is accurate.

Progress through this section
68 %