|
Please Choose a User ID and Password. For the user ID, you may use any
combination of letters, numbers and underscores between 3 and 15 characters. The
password you chose can be any combination of letters, numbers, and underscores
and should be between 3 and 10 characters.
Write your User ID and Password down and keep it in a safe place so you
can return to this study at a later date.
|
| User ID
Password
Re-enter Password
|
Enter a secret question and an answer so that you can be reminded of your
password if you forget it.
|
| Secret Question
Answer to Question
|
Please provide the following information. It is completely confidential.
All fields are required.
|
| Age |
(in digits) |
| Gender |
|
| Occupation |
|
| Industry |
|
| Marital Status |
|
| Level of Education |
|
| Company Name |
|
This information is completely confidential and will be used only for
scientific purposes and composite feedback to company managers.
To ensure confidentiality and validity, feedback is only given if at least 15
of a company's employees complete the study.
|
