EXIT SURVEY

Extended Profile
Question 1

If you are living with a spouse, relative or a family member, please confirm
that you have obtained their consent to provide Personally Identifiable
Information (PII) on their behalf any time throughout the survey process?
Select one

Yes

No

Question 2

How many children do you have under the age of 18?

Select one

Select one 0 1 2 3 4 5 6 7 8 9 10 11 12

Question 3

Approximately what is the annual revenue for your organization?

Select one

Select one Under $100,000 $100,000 - $249,999 $250,000 - $499,999 $500,000 - $999,999 $1
Million - $4.99 Million $5 Million - $9.99 Million $10 Million - $24.99 Million $25 Million -
$49.99 Million $50 Million - $99.99 Million $100 Million - $249.99 Million $250 Million - $499.99
Million $500 Million - $999.99 Million $1 Billion or more I don't know I don't work

Question 4

Which department do you primarily work within at your organization?

Select one
Select one Administration/General Staff Customer Service/Client Service Executive
Leadership Finance/Accounting Human
Resources Legal/Law Marketing Operations Procurement Sales/Business Development Technology
Development Hardware (not only IT) Technology Development Software (not only IT) Technology
Implementation Electrical Contractor Other I don't work

Question 5

Which departments/products do you have influence or decision making

authority for spending/purchasing?
Select as many as you like

IT Hardware

IT Software

Printers and Copiers

Financial Department

Human Resources

Office Supplies

Printer and Copier Supplies

Corporate Travel (Self)

Corporate Travel (Company)

Telecommunications (Mobile)

Telecommunications (Non-Mobile)

Sales/Business Development

Shipping/Mail Services

Operations/Production

Legal Services

Professional Services/Consultants

Marketing/Advertising
Security

Facilities Maintenance and Management

Food Services/Catering

Auto Leasing/Purchasing

Utilities

Other

I do not make/influence purchasing decisions

I don't work

Question 6

What is the highest level of education you have completed?

Select one

Select one None completed 3rd grade or less Middle school Completed some high school, but did
not graduate High school graduate Other post high school vocational training Completed some
college, but did not graduate Associate's Degree Bachelor's Degree Completed some graduate
school, but did not graduate Master's or professional degree Doctorate Degree

Question 7

What best describes your current employment status?

Select one

Select one Employed full-time Employed part-time Self-employed; Business owner full-time Self-
employed; Business owner part-time Active military Inactive
military/Veteran Unemployed Homemaker Retired Student Disabled Parental leave Leave of
absence

Question 8

Which of the following best describes your race?

Select one
Select one Asian (including Chinese, Japanese, Korean, etc.) Black / African Canadian /
Caribbean British / Scottish / Irish / Welsh Eastern European, including Russia Hispanic / Latin
American Middle Eastern South Asian (including India, Pakistan, Sri Lanka, Bangladesh,
Nepal) South East Asian (including Burma, Thailand, Vietnam, Laos, Cambodia, Philippines,
Singapore, etc.) Western European First Nations / Métis / Innuit Native Hawaiian or Pacific
Islander Other

Question 9

What is your annual household income after taxes?

Type in your answer

Question 10

What is your annual household income before taxes?

Type in your answer

Question 11

Which of the following categories best describes your organization's

primary industry?
Select one

Select
one Accounting Advertising Agriculture/Fishing Architecture Automotive Aviation Banking/Financi
al Bio-Tech Brokerage Carpentry/Electrical
installations/Plumbing Chemicals/Plastics/Rubber Communications/Information Computer
Hardware Computer Reseller (software/hardware) Computer
Software Construction Consulting Consumer Electronics Consumer Packaged
Goods Education Energy/Utilities/Oil and Gas Engineering Environmental
Services Fashion/Apparel Food/Beverage Government/Public
Sector Healthcare Hospitality/Tourism Human Resources Information
Technology/IT Insurance Internet Legal/Law Manufacturing Market
Research Marketing/Sales Media/Entertainment Military Non Profit/Social services Personal
Services Pharmaceuticals Printing Publishing Public Relations Real
Estate/Property Retail/Wholesale
trade Security Shipping/Distribution Telecommunications Transportation Marketing Sales Other I
don't work

Question 12

Approximately how many employees work at your organization?

Select one

Select one 1 2-5 6-10 11-25 26-50 51-100 101-250 251-500 501-1000 1001-5000 Greater than
5000 I don't know I don't work

Question 13

What industries do members of your household, including yourself, work in?

Select as many as you like

Accounting

Advertising

Agriculture/Fishing

Architecture

Automotive

Aviation

Banking/Financial

Bio-Tech

Brokerage

Carpenting/Electrical installations/VVS

Chemicals/Plastics/Rubber

Communications/Information

Computer Hardware

Computer Reseller (software/hardware)

Computer Software, Storage, Security

Construction

Consulting

Consumer Electronics

Consumer Packaged Goods

Education

Energy/Utilities/Oil and Gas

Engineering

Environmental Services

Fashion/Apparel

Food/Beverage

Government/Public Sector

Healthcare

Hospitality/Tourism

Human Resources

Information Technology/IT

Insurance

Internet/Web Development

Legal/Law

Manufacturing

Market Research

Marketing/Sales

Media/Entertainment

Military

Non Profit/Social services

Personal Services
Pharmaceuticals

Publishing/Printing/Print Media

Public Relations

Real Estate/Property

Retail/Wholesale trade

Security

Shipping/Distribution

Telecommunications

Transportation

Other

News Media

Journalism

Press Industry

None of the above

Question 14

What is your job title, level, or responsibility?

Select one

Select one C-Level (e.g. CEO, CFO), Owner, Partner, President Vice President (EVP, SVP, AVP,
VP) Director (Group Director, Sr. Director, Director) Manager (Group Manager, Sr. Manager,
Manager, Program Manager) Analyst Assistant or Associate Administrative (Clerical or Support
Staff) Consultant Intern Volunteer None of the above I don't work

Question 15

What is your current marital status?

Select one

Single
Married

Separated

Divorced

Widowed

Engaged

Domestic Partnership / Living with Partner

Prefer not to say

All Done?
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EXIT SURVEY

General Profile
Question 1

Do you smoke?
Select one

Yes, I smoke

Yes, I smoke now and then

Yes, I smoke but I'm planning to quit

No, I don't smoke

No, I don’t smoke, but use other tobacco products

No, I don't smoke but use a vape/electronic cigarettes

Question 2

What best describes your current household?

Select one

Rented apartment

Owned apartment

Rented house

Owned house
Farm

University Residence

Living with parents

Other

Question 3

Have you been diagnosed with any of the following illnesses/conditions?

Select as many as you like

Acne

ADD/ADHD

Allergies (not associated with Hay Fever)

Alzheimer’s

Anemia

Angina

Anxiety

Arrhythmia/Atrial Fibrillation

Arthritis

Asthma

Back Pain

Blood Disorders (non Cancerous)

Bipolar Disorder

Bronchitis

Cancer

Cardiovascular Disease

Carpal Tunnel Syndrome

Chronic Fatigue Syndrome

Chronic Kidney Disease

Chronic Lymphocytic Leukemia

COPD

Cirrhosis

Colitis

Constipation

Crohn's Disease

Cystic Fibrosis

Dementia

Dental Problems

Depression

Diabetes

Diarrhea/Diarrhoea

Eczema

Emphysema

Endometriosis

Epilepsy

Erectile Dysfunction (ED)

Fibromyalgia

Food Intolerances

Gastro Esophageal Reflux (GERD)

Gastroenteritis

Gout

Hemophilia

Hemorrhoids
Hay Fever

Heart Conditions (not heart failure)

Heart Failure

Other

I don't have any illnesses/conditions

Prefer not to answer

None of the above

Question 4

Which of the following electronic products do you own?

Select as many as you like

Blu-ray/DVD player

Flat Screen TV

3D TV

Portable game console (e.g. Sony PSP GO)

Stationary game console (e.g. Nintendo Wii)

Video Camera/Camcorder

Digital Camera

Digital SLR Camera

PC/Mac stationary or desktop

PC/Mac laptop or portable

Cell Phone

Cordless Phone

MP3 player/iPod

Projector

Scanner
Cable TV/Satellite TV

Digital TV receiver

Printer

Multi-purpose printer (fax, printer, phone, etc.)

Home Network/Wireless Internet

Surround System/Home Cinema

Digital Media Receiver (e.g. Apple TV, Vudu)

Tablet (e.g. iPad)

E-book reader (e.g. Kindle)

Smart home device (e.g. Alexa, Google Home, Nest)

None of the above

Question 5

In your household, are you the person who makes most of the daily
purchasing decisions?
Select one

Yes

No

Share decisions equally

Question 6

Have you been diagnosed with any of the following illnesses/conditions?

Select as many as you like

Hepatitis

High Cholesterol

HIV - Aids

Hypertension
Hypothyroidism

Impotence

Infertility

Irritable Bowel Syndrome

Joint Replacement

Kidney Failure

Liver Cirrhosis

Liver Disorders (other than cancer or cirrhosis)

Lupus

Lyme Disease

Menopause

Migraine

Motor Neuron Disease

Multiple Sclerosis

Obesity

Osteoarthritis

Osteoporosis

Overactive Bladder

Parkinson's disease

Pneumonia

Premature ejaculation

Psoriasis

Reflux

Restless Leg Syndrome

Rheumatoid Arthritis
Schizophrenia

Shingles

Sinusitis

Sleeping Disorder

Smoking Addiction

Stroke

Substance Abuse Drugs/Alcohol

Syphilis

Thyroid Problems

Tuberculosis

Ulcerative Colitis

Ulcers

Urinary Incontinence

Other

I don't have any illnesses/conditions

Prefer not to answer

None of the above

Question 7

Which of the following pets are present in your household?

Select as many as you like

Cat(s)

Dog(s)

Bird(s)

Fish

Amphibians (frogs, toads, etc.)

Small animals or rodents (hamsters, mice, rabbits, ferrets, etc.)

Reptiles (turtles, snakes, lizards, etc.)

Horse(s)

Other

I do not have any pets

Question 8

Which, if any, of these drinks have you consumed in the past four weeks?
Select as many as you like

Beer

Wine

Flavored malt beverages or wine coolers

Spirits/Liquor

Pre-mixed packaged spirits/flavored alcoholic beverages

Coffee

Energy drinks

Tea

Carbonated soft drinks

Fruit drinks/juices

Bottled water

None of these

Question 9

Do you drive a car regularly?

Select one

Yes, I own a car/cars

Yes, I have access to a car/cars

Yes, I lease/have a company car

No, I don't have access to a car

All Done?
SUBMIT SURVEY
EXIT SURVEY

Automotive Profile
Question 1

Do you possess a driver's license?

Select one

Yes

No

Question 2

When do you estimate that you will purchase/lease your next car?
Select one

Within 0-3 months

Within 4-6 months

Within 7-12 months

Within 13-24 months

Within 2-5 years

5+ Years from now

Undecided/Don't know

Question 3
Are you the primary decision maker in your household for automotive-
related purchases?
Select one

Yes

I contribute equally in automotive decisions

No

Question 4

If you own/lease a car(s), which brand(s) are they?

Select as many as you like

Alfa Romeo

Audi

Acura

BMW

Buick

Cadillac

Chevrolet

Chrysler

Dodge

Ferrari

Fiat

Ford

GMC

Honda

Hummer

Hyundai
Infiniti

Isuzu

Jaguar

Jeep

Kia

Lamborghini

Land Rover

Lexus

Lincoln

Maserati

Mazda

Mercedes

MG

Mini

Mitsubishi

Nissan

Pontiac

Porsche

Ram

Rover

Saab

Saturn

Scion

Smart

Subaru
Suzuki

Tesla

Toyota

Volkswagen

Volvo

Aston Martin

Bentley

Genesis

McLaren

Mercury

Rolls Royce

Other

I don't own/lease a car

Question 5

How would you describe the vehicle(s) you own/lease?

Select as many as you like

Micro/City Car (e.g. Smart Fortwo)

Sub Compact (e.g. Toyota Yaris)

Compact Sedan/Stationwagon/Hatch (e.g. VW Golf)

Mid Size (e.g. Mazda 6)

Full size Sedan/Stationwagon/Hatch (e.g. Toyota Avalon)

Luxury/Prestige (e.g. BMW/Mercedes)

Hybrid/Electric/Biogas (e.g. Toyota Prius)

Sports/Perfomance Car (e.g. Audi TT)

MPV/Minivan (e.g. Dodge Caravan)

SUV/Cross Over/4x4 (e.g. Honda CR-V)

Pick up (e.g. Ford F-150)

Van (e.g. Ford E-Series)

RV/Motor Home or Camper Van

Other

I don't own/lease a car

Question 6

What year was your main vehicle (owned or leased) manufactured?

Select one

Select one Before

1995 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20
11 2012 2013 2014 2015 2016 2018 2017 2019 I don't own/lease a car 2020

Question 7

In which year did you purchase/lease your main vehicle?

Select one

Select one Before

1995 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20
11 2012 2013 2014 2015 2016 2017 2018 2019 2020 I don't own/lease a car None of the above

Question 8

Did you purchase/lease your primary vehicle new or used?

Select one

New

Used

I don't own/lease a car

Question 9
When do you estimate that you will purchase/lease your next car?
Select one

2020

2021

2022

2023

2024

Undecided/Don't know

Question 10

Do you own a motorcycle?

Select one

Yes

No

All Done?
SUBMIT SURVEY
EXIT SURVEY

Employment Profile
Question 1

Approximately how many employees work at your organization (all

locations)?
Select one

Select one 1 to 5 6 to 9 10 to 19 20 to 24 25 to 49 50 to 99 100 to 249 250 to 499 500 to 999 1,000

to 2,499 2,500 to 4,999 5,000 to 9,999 10,000 to 24,999 25,000 to 49,999 50,000+ Don't know

Question 2

Which of the following best describes your primary role at work?

Select one

I am an Information Technology or IT executive, manager or staff person whose primary job

position is in a formalized IT, Information Systems or MIS department of your company

I perform the function of an IT staff person, but work outside of a formalized IT department

I create software solutions, build/write computer code, develop web sites or complex macros at
work

I have significant decision-making authority at work for my own department or multiple

departments but I do NOT work in the IT department

I use a computer at work every day, but do not work in the IT department or have decision-making
for my own department

None of the Above

Question 3

Which of the following best describes your current profession?

Select one
Select one Carpentry/Woodworker/Cabinet
Maker Drywall/Plaster Electrician Fencing/Decking Flooring Framer General
Contractor Handyman/Property Maintenance Home builder Home or Property
Restorer HVAC Insulation Landscaper Masonry Painter Plumber Remodeler Roofer Siding/Window
s/Doors Other construction profession I don't work in the construction industry.

Question 4

Which of the following best describes your current profession?

Select one

Select one Administrator Chiropractor Dental Hygienist or Assistant Dentist Emergency Medical
Technician (EMT) Home health aide Medical assistant Nurse Nursing
assistant Optometrist Pharmacist Phlebotomist Physical or Occupational
Therapist Physician/Doctor Surgeon Technician (laboratory, radiology, etc.) Therapist or mental
health counselor Veterinarian Other healthcare profession I don't work in the healthcare industry

Question 5

Which IT role(s)/function(s) do you operate within?

Select as many as you like

Application Architecture and Integration

Application Development

Application Quality

Audit, Compliance, Privacy

Business Analytics

Business Applications

Cloud Architecture

Customer Relationship Management (CRM)

Data and Business Intelligence

Data Architecture

Data Center Architecture

Enterprise Resource Planning (ERP)

Enterprise/IT Risk Management/Digital Risk

Information Security Management or Architecture

IT Procurement Manager

IT Service and Support Management

IT Services Sourcing Manager

IT Vendor Manager

Mobile and Endpoint Computing Management

Mobile Applications

Program/Portfolio Management

Server/Storage Architecture

Software Asset Manager

Telecom and Network Infrastructure

Other IT role/function

I'm not involved in any IT roles or functions

Question 6

Please indicate your title. Select one response.

Select one

Select one Accountant/CPA/Book Keeper Adjunct

professor Administrator/clerical Advertising Aerospace Engineer Aircraft mechanic Appointed
official Architect Asset Manager Assistant professor Assistant/associate
director Attorney Auditor Automotive Parts Sales Automotive
Technician/Mechanic Bartenders/Servers Benefits Consultant/Broker Builder Building
Inspector Building Owner C-Level/CEO Campaign official/staffer Carpenter Chef / Cook Chief
Information Officer (CIO) Concrete Contractor Commercial Servicer Consulting
Engineer Construction Laborer Construction Supervisor Data Analyst Dealer Deck
Contractor Department manager Drywaller Electrician Facilities Manager General
Contractor General Manager Handyman Heavy Machinery/Equipment Mechanic HVAC
Engineer HVAC Technician In-house Engineer Insulation Contractor Interior
Designer Landscaper Locksmith Property Manager Maintenance Manager VP/Director of
Procurement VP/Director of Construction Painter Site Superintendent Mechanical
Contractor Plumber Repair Technician Roofer Replacement Contractor (windows, doors, siding,
roofing) Property Investor Pipefitter Remodeler Refrigerant Recovery Specialist Welders Exterior
Framing Contractor Manufacturer Flooring
Professional Miner Brickmaster/Stonemason Transportation Operator Tile Contractor Flooring
Contractor System Architect Pool/spa builder/contractor Pool/spa service
professional Distributor/Wholesaler Kitchen & Bath Installer Gutter replacement specialists Project
manager Tradesmen Journalist Photographer Researcher Marketer Engineer Customer Service New
or Used Vehicle Sales Service Advisor Housecleaners / maids Pest Control Packers and
Movers Window cleaners Water / Fire restoration Financial Advisor/Planner Financial
Consultant Stock Broker Registered Investment Advisor Insurance
Broker/Dealer Lawyer Government and Civil Service Trader Portfolio manager Civil
Engineer Fence Installer Head of R&D New Product Manager Research Engineer Development
Engineer Product Designer Design Engineer Product Developer Product Development
Scientist Creative Technologist New Product Development Engineer R&D Supervisor R&D Lab
Technician R&D Team Leader Construction Manager Window/door installers Specification
Writer Drainage Contractor Personal care/protective service worker Line Leader
(production/assembly) Plant Engineer/Manager/Supervisor Reliability Engineer Purchasing
Agent/Buyer Mechanical Engineer/Manager Engineering Manager Electrical Engineer Corporate
Engineer Corporate Reliability Financial
Administration/Leadership Doctor Driver Teacher Nurse Librarian Head of Lab Senior research
associate Principal investigator Professor Research Assistant Research Scientist Postdoctoral
Researcher President Director Head of the department Graphic Designer IT Specialist HR
Manager Technical Writer Software Developer Receptionist Editor Self-employed / independent
designer / consultant Retail associate at home improvement store Police Officer / Firefighter Safety
professional Strategy and development Outsourcing manager Elected official Lobbyist Polling
consultant Public affairs consultant Programmer Web
Developer Janitor Veterinarian Sales/Business Development Public Relations Disabled Event
Planners Designer/artist Information Systems Manager (MIS) Writer/Reporter Hair
Stylist Consultant/adviser/analyst Human Resources Retired Military Warehouse/Logistics Skilled
labor - general Entertainer Retail (Sales & Management) Junior manager Specialist Qualified
worker Non-qualified worker Fashion Designer Cosmetology Make - up Artist Owner /
Partner Information Technology (IT) Worker Chief Financial Officer Marketing Director Marketing
Manager Chief Risk Officer Data Protection Officer Compliance Officer Data Governance
Officer Chief Data Officer Chief Privacy Officer Chief Legal Officer General Counsel Chief Information
Security Officer (CISO) Chief Security Officer (CSO) Chief Marketing Officer Vice President of
Marketing Marketing Assistant Site Supervisor Realtor Property Developer Real Estate Broker Real
Estate Agent Residential Landlord Chief Technology Officer (CTO) VP of Digital/Online
content VP/Director/SVP/Head of Creative VP/Director/SVP/Head of Design Student Installations
Worker Farmer Home/Property Builder Home/Property Restorer Real Estate Investments Real
Estate Appraisal Other None of the above

Question 7

What is your primary role in your organization?

Select one

Select one I don't work Prefer not to say Owner or Partner President/CEO/Chairperson Middle
Management Chief Financial Officer (CFO) Senior Management Director HR Manager Product
Manager Supply Manager Project Management Sales Manager Business
Administrator Supervisor Administrative/Clerical Craftsman Foreman Technical Staff Faculty
Staff Sales Staff Chief Technical Officer (CTO) C-level executive Buyer/Purchasing Agent Finance
manager/director Building manager/director Facilities manager/director Information technology
manager/director Health service manager/director Hospitality, retail, other services
mgr/director Health professional (doctor, nurse, pharmacist) Laboratory professional Social and
cultural professional Legal professional (attorney, paralegal, lawyer) Personal care/protective
service worker Salesperson (eg. shop, market salesperson) Forestry or fishery worker Agricultural
worker Driver (e.g taxi, bus, van, truck driver) Plant/machine operator, heavy equipment
operator Healthcare technologist/administrator Laborer/Service occupation (maid, miner,
waiter) Active armed forces/military Financial and investment adviser Financial analyst Systems
analyst Software developer Web and multimedia developer Applications programmer (e.g app
developer) Database designer and administrator Systems administrator Network
administrator Help desk technician Computer network and systems technician Builder, general
construction worker, bricklayer General contractor Stonemason Carpenter or
joiner Roofer Flooring/tiling/wallpapering/painting technician Plumber or pipe fitter Architect,
engineer or science professional Production services manager/director Other non management
staff Other IT Architect/consultant

Question 8
What is your professional position in the organization you work for?
Select one

Director/Manager

Other decision maker

Not a managing position

I don't work

Prefer not to say

Question 9

If you work in the finance sector, which best describes your position?
Select one

Select one Accounts Payable/Receivable Actuarial Analysis Audit Bookkeeping Claims Review and
Adjusting Collections Corporate Accounting Corporate Finance Credit Review/Analysis Financial
Analysis/Research/Reporting Financial Control Financial Planning/Advising Financial Products
Sales/Brokerage Fund Accounting Other: General accounting/finance Investment
Management Policy Underwriting Tax Accounting I don't work/I don't work in the finance
sector Prefer not to say

Question 10

In the last year, have you engaged in any of the following job-related
activities?
Select as many as you like

Looked for a job

Searched online job listings

Used an online social network to advance your career

Asked for/provided career advice

Had direct responsibility for recruiting candidates for open positions

Helped define recruiting processes/policies for a company

None of the above

All Done?
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