Please take a few minutes to fill in our survey. You will get your personal evaluation at the end.

Do you feel more or less alienated from society than you did 5 years ago?
      More
      No change
      Less
      I don't feel alienated


Are you as physically attracted to your partner as the day you met?
    More attracted
    About the same
    Less attracted
    Not attracted anymore
    Not applicable
   


Are you female or male?       Female       Male      


What is your approximate annual total household income? (in US dollars) Pick Income Level Under $10K $10-20K $20-30K $30-40K $40-50K $50-60K $60-70K $70-80K $80-90K $90-100K $100-125K $125-150K $150-200K $200-250K $250-300K $300-500K $500-1,000K Over 1 million


What word best describes this facial expression?

Decisive     Excited     Aggressive    


Which of the following smells do you prefer?
   Vanilla
   Coffee
   Chocolate
   Newborn Baby
   Garlic




Which one of these boxes can be made from the unfolded picture?

What term best describes your political views?
      Very Conservative
      Conservative
      Moderate
      Libertarian
      Liberal
      Very Liberal
      I have no political orientation


About how often do you think about God each day?
      Constantly
      Frequently
      Sometimes
      A little
      Never


Do you have a fear of being negatively evaluated by others?
      Frequently
      Sometimes
      Rarely
      Never
     

When you talk to someone, do you make eye contact?
      Constantly
      More than half of the time
      About half of the time
      Less than half of the time
      Infrequently
     

If you had to choose one, which system would you rather live under?
Communism       Fascism       Anarchy      


How old are you? Pick Age Under 18 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Over 70


Do you wear perfume or cologne? (not including scented deoderants)
      Frequently
      Sometimes
      Rarely
      Never      


When you were a teenager, which parent was most likely to discipline you?
     Mother
     Father
     About the same


How long have you been with your current partner?
      Not applicable
      Less than 1 year
      1-2 years
      3-4 years
      5-7 years
      8-10 years
      11-15 years
      16-25 years
      Over 25


Which one of these actress-models do you think is the most beautiful?

Tyra Banks	Cindy Crawford	Lucy Liu

Do you currently have a cold, flu, bronchitis, or respiratory infection?      Yes       No
     

How would you rate your sense of humor?
      Very good
      Good
      Average
      I'm usually pretty serious
     

Have you ever started your own business?
      Yes
      No
     




















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