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YOUR CONTACT INFORMATIONSpace(learn more about why we ask for contact information.)
First Name
Last Name
Email Address
Confirm Email Address
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Mailing/Street Address
City
Province
Postal Code
MORE ABOUT YOUSpace(learn more about why we ask for gender, birth date, marital status, education, and employment.)
Gender
MaleFemale
Date of Birth
What is your current marital status?
Highest level of education you have completed
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Employment Status
Are you the person in your household who is primarily responsible for the grocery shopping?
GENERAL HOUSEHOLD INFORMATIONSpace(learn more about why we collect information about your household.)
Including yourself, how many people live in your household?

What is your household's combined yearly income before taxes? (learn more about why we ask about income.)
CREATE YOUR MYSURVEY PASSWORDSpace
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