The Yellow Tree
Who Am I? (basic information about myself)
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Indicates required field
You are a
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Please choose one
Male
Female
In what year were you born
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Please choose one
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
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1966
1967
1968
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1991
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1993
1994
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1998
1999
2000
2001
2002
In what country were you born?
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Which city/ town do you live?
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Have you ever left your family home and are you living permanently on your own?
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Please choose one
Yes
No
I am presently
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Please choose one
Single
In relationship, living seperately
in relationship, living together
Married
Separated or divorced and, single
Separated or divorced and, in a new relationship
widowed
Do you have children?
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Yes
No
Are you still studying?
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Yes
No
What is your level of education?
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Please choose one
I have not completed my primary education
I have completed my primary education
I have completed my secondary school
I have completed my higher education
I have an academic degree
I have a post-graduate degree
Are you presently working?
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Please choose one
Yes
No
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