note: If you have received the survey by mail, please complete and return the PAPER survey instead of this online form.
Please complete this questionnaire if you are the adult (age 18 or older) in the
household who most recently had a birthday. The adult's year of birth does not
matter. Please select the response (by selecting the option or checking the box)
that most closely represents your opinion for each question, then click 'Next'.
Your responses are anonymous and will be reported in group form only.