Mitchell Interactive Political Research Panel Thank you for your interest in becoming a member of the exclusive Mitchell Interactive Research Panel. Mitchell Interactive is a leader of online market research and we want your opinion to be heard by corporations, media outlets, non-profits and governments. To show our appreciation for your time and opinion you'll be enrolled in our Mitchell Rewards program where you can earn points to be redeemed for cash and gift certificates. Please fill out our short 17 question panel profile below to become a member! 1. Thinking about the nation's economy are you Please select Very concerned Somewhat concerned Not very concerned Not at all concerned 2. What is your first name? 3. What is your last name? 4. Please enter your e-mail address? 5. What state do you live in? Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming 6. What city do you live in? 7. In what year were you born? 8. Are you a registered voter in the United States? Please select Yes No Refused 9. Which of the following best describes your highest level of education? Please select Less than high school graduate High school graduate Some college College graduate Refused 10. Gender Please select Male Female Refuse 11. Which of the following best describes your ethnicity? Please select White, non-Hispanic Hispanic African American Asian/Pacific Arab American Other Refused 12. Do you work outside your home for wages? Please select Yes No Not Sure 13. Which of the following best represents your religious affiliation? Please select Protestant/other non-denominational Christian Roman Catholic Jewish Muslim Mormon Other Refused 14. In which party are you either registered to vote or do you consider yourself to be a member? Please select Strong Democrat Democrat Independent Lean Democrat Independent Independent Lean Republican Republican Strong Republican Green Reform Natural Law Other Not sure 15. Do you or does any member of your household, belong to a Labor Union or Teachers Association? Please select Yes, I do Yes, another member of my household No Refuse 16. What is your approximate total annual household income? Please select Under $15,000 $15,001-$30,000 $30,001-$50,000 $50,001-$75,000 $75,001-$100,000 $100,001-$150,000 $150,001-$200,000 $200,001 or more DK/Refused 17. I have read the privacy policy Please select Yes