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Blekinge län
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Södermanlands län
Stockholms län
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Västmanlands län
Västra Götalands län
Kommun
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Postnummer
Do you have children?
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No
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Yes, but no longer live at home
What are their ages (Month / Year) and Gender?
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What is your marital status?
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Single
Defacto/common-law
Married
Widowed
Separated
Divorced
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Do you own any pets? (Choose all that apply)
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Dog
Cat
Fish
Chickens
Other birds
Other (please specify)
No pets
What is your highest level of education
completed?
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Year 9 or less
Year 10 (or equivalent)
Year 12 (or equivalent)
Trade College e.g. TAFE, Other teritary education
University - Bachelors or Undergraduate
Post Grad
Masters
Phd
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Which of the following best applies to you?
- Select a best applies to you-
Employed, working full time (30 hrs or more work per week)
Employed, working part time (under 30 hrs work per week)
Self-employed / Business owner
Semi-retired (still doing some work)
Retired
Home duties
Studying (not working)
Studying (working)
Currently not working
Other (Please specify )
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What is your approximate annual income? (individual)
- Select your approximate annual income-
$0 - $20,000
$20, 001 - $40,000
$40,001 - $60,000
$60,001 - $80,000
$80,001 - $120,000
$120,001 - $180,000
$180,001 and over
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What is your approximate annual income? (Household)
- Select your approximate annual income-
$0 - $20,000
$20, 001 - $40,000
$40,001 - $60,000
$60,001 - $80,000
$80,001 - $120,000
$120,001 - $180,000
$180,001 and over
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Which of the following groups best describe your occupation?
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Business Owner
Manager
Professional
Technicians and Trade
Community and Personal Service
Clerical and Administrative
Sales
Machinery Operator or Driver
Labourer
Other (Please specify)
How many people does the business you work for employ (including Full Time, Part Time and Casual)?
- Select How many people does the business you work for employ-
0 (sole proprietor/no employees)
1-4
5-20
21 to 99
100 to 199
200 and over
In the business you work in, what industry does it mainly operate in?
- Select industry does it mainly operate in-
Accommodation, Cafes, Restaurants
Agriculture, Forestry & Fishing
Business services
Communications Services
Community Services
Construction
Cultural and recreational services
Education
Electricity, gas and water supply
Finance or Insurance
Health Services
Manufacturing
Mining
Personal and other services
Property services
Retail
Technology
Transport / Storage
Wholesale
Other (Please Specify)
If known, what is the approximate annual revenue or turnover of the business?
- Select approximate annual revenue or turnover of the business-
Less than $100k
$100k to Less than $500k
$500k to less than $1m
$1m to less than $2m
$2m to less than $5m
$5m to less than $10m
$10m to less than $20m
$20m plus
Unknown
Prefer not to say
When it comes to making decisions on the management of the business, what level of decision making are you involved in?
- Select level of decision making are you involved in-
I have little or no influence on the decisions
I have some influence on the decisions
I have significant influence on the decisions
I make and share the decisions with others
I solely make the decisions
What industry do you work in?
- Select industry do you work in -
Accommodation – Hotels
Accommodation – Restaurants
Advertising
Aerospace / Defense
Agriculture – Fishing
Agriculture – Forestry
Agriculture – Hunting
Agriculture – Other
Architecture
Arts
Athletics – Fitness / Wellness
Athletics – Sports
Automotive
Aviation
Bio-Tech
Business Services - Administrative Support
Business Services – Other
Casino
Chemical Industry
Communications/Information
Computer – Electronics
Computer – Hardware
Computer – Reseller (Hardware / Software)
Computer – Security
Computer – Software
Computer – Storage
Construction – Commercial
Construction – Residential
Consulting – Other
Consulting – Training
Consumer – Electronics
Consumer – Food and Beverages
Consumer – Packaged Goods
Education
Employment
Energy – Oil and Gas
Energy – Other
Energy – Renewable Energy
Engineering
Entertainment
Environmental Services
Equipment
Fashion / Apparel
Financial – Accounting
Financial – Banking
Financial – Brokerage
Government
Healthcare – Dentistry
Healthcare – Medical
Healthcare – Medical Specialty/Specialist
Healthcare – Other
Healthcare – Pharmaceuticals
Healthcare – Veterinary Services
Human Resources
Industrial Goods
Information Technology
Insurance
Internet
Law – Legal Services
Leisure and Recreation Services
Logistics – Distribution
Logistics – Shipping
Logistics – Warehousing
Manufacturing
Market Research
Marketing
Materials – Chemical
Materials – Mineral
Materials – Oil
Materials – Plastics
Materials – Rubber
Media
Military
Mining – Metals
Mining – Minerals
Mining – Oils
Natural Resources
Non-Profit / Charity
Personal Services
Printing / Publishing
Public Administration
Public Relations
Public Safety – Emergency Medical
Public Safety – Fire
Public Safety – Law Enforcement
Public Sector
Real Estate / Property
Religious Organizations
Retail / Wholesale Trade
Sales
Security
Skills Trade – Carpentry
Skills Trade – Electrical
Skills Trade – Plumbing
Skills Trade – Repair Services
Social Services
Technology Services – Computers
Technology Services – Other
Technology Services – Software
Technology Services – Web Development
Telecommunications
Tourism
Transportation
Travel
Utilities and Energy Providers – Gas Water, Electricity, etc
Waste Management
Other (Please Specify)
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