Candidate Questionnaire

-- Select Option -- EmailPhoneEither

Male Female

YesNo

-- Select Option -- Yes and they live with meYes and they live with me part timeYes and they don't live with meNo

YesNoUndecided

-- Select Option -- YesNoUndecided

-- Select Option -- Highschool/GEDTrade SchoolSome collegeBachelorsMastersPhD

-- Select Option -- YesNo

-- Select Option -- OccasionalSocialDaily

-- Select Option -- YesNo

-- Select Option -- OccasionalSocialDaily

-- Select Option -- YesNo

-- Select Option -- BrownBlueGreenHazel

-- Select Option -- BlackBlondeBrownBrunetteRedOther

-- Select Option -- YesNo

-- Select Option -- 12345678910