Question 1 of 8
What is your sex?
Female Male

Question 2 of 8
In what year were you born?
1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000

Question 3 of 8
What country were you born in?
United States Abkhazia Afghanistan Aland Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ascension Australia Austria Azerbaijan Bahamas, The Bahrain Baker Island Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Antarctic Territory British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo – Brazzaville Congo – Kinshasa Cook Islands Coral Sea Islands Costa Rica Cote d'Ivoire (Ivory Coast) Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia, The Gaza Strip Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Howland Island Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Jan Mayen Japan Jarvis Island Jersey Johnston Atoll Jordan Kazakhstan Kenya Kingman Reef Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man, Isle of Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Midway Islands Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar (Burma) Nagorno-Karabakh Namibia Nauru Navassa Island Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Cyprus Northern Mariana Islands Norway Oman Pakistan Palau Palmyra Atoll Panama Papua New Guinea Paraguay Peru Peter I Island Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Queen Maud Land Reunion Romania Ross Dependency Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia Spain Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste (East Timor) Togo Tokelau Tonga Transnistria Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wake Island Wallis and Futuna West Bank Western Sahara Yemen Zambia Zimbabwe

Question 4 of 8
What is your ethnicity?
White, Non-Hispanic Black Hispanic American Indian, Eskimo or Aleut Asian or Pacific Islander

Question 5 of 8
What is your current industry?
Advertising Aerospace/Defense Air Transport Apparel Auto & Truck Auto Parts Bank Beverage Biotechnology Building Materials Cable TV Canadian Energy Chemical Coal Computer Software/Svcs Computers/Peripherals Diversified Company E-Commerce Educational Services Electric Util. Electrical Equipment Electronics Entertainment Entertainment Tech Environmental Financial Svcs. (Diversified) Food Processing Food Wholesalers Foreign Electronics Furn/Home Furnishings Grocery Healthcare Information Heavy Construction Home Appliance Homebuilding Hotel/Gaming Household Products Human Resources Industrial Services Information Services Insurance (Life) Insurance (Prop/Cas.) Internet (Non E-Commerce) Investment Co. Investment Co.(Foreign) Machinery Manuf. Housing/RV Maritime Market Medical Services Medical Supplies Metal Fabricating Metals & Mining (Div.) Natural Gas (Div.) Natural Gas Utility Newspaper Office Equip/Supplies Oil/Gas Distribution Oilfield Svcs/Equip. Packaging & Container Paper/Forest Products Petroleum (Integrated) Petroleum (Producing) Pharmaceuticals Pharmacy Services Power Precious Metals Precision Instrument Property Management Publishing Railroad Real Estate Recreation Reinsurance Restaurant Retail Automotive Retail Building Supply Retail Store Securities Brokerage Semiconductor Semiconductor Equip Shoe Steel (General) Steel (Integrated) Telecom. Equipment Telecom. Services Thrift Tobacco Toiletries/Cosmetics Trucking Utility (Foreign) Water Utility Wireless Networking

Question 6 of 8
What is your current pre-tax salary? (In US Dollars)

Question 7 of 8
At what age would you like to retire?

Question 8 of 8
Desired retirement standard of living? (in percent of your current pre-tax salary)

Question 9 of 9
Your Email Address (optional)