Participant Eligibility Survey
The information you provide will be used solely for the purpose of contacting you for research studies. It will not be sold to anyone, or used for any other purpose other than scheduling your participation in AGE@NYU research studies.
Please note: Due to the COVID-19 outbreak, we have paused all in-person research activities. However, those who are interested in in-person studies can still indicate so on the participant eligibility survey. We will reach out to you once it is safe to resume in-person studies.
* Required
Consent
*
By checking this box, you indicate that you are at least 18 years old, and consent to providing your demographic information to the AGE Initiative at NYU.
Required
Which type of study are you interested in?
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In-person studies at NYU
Online studies (requires providing email address below)
Both in-person and online studies
First Name
*
Your answer
Last Name
*
Your answer
Gender
*
Female
Male
Prefer not to say
Other:
Race/Ethnicity
*
American Indian/Alaskan Native
Asian
Black/African American
Native Hawaiian/Other Pacific Islander
White/Caucasian
Other:
Age
*
Your answer
Phone Number
*
Your answer
Email Address (if any)
Your answer
Zip Code
*
Your answer
Country (if not U.S.)
Choose
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Côte d'Ivoire
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Congo-Brazzaville)
Costa Rica
Croatia
Cuba
Cyprus
Czechia (Czech Republic)
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (fmr. "Swaziland")
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (formerly Burma)
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
North Macedonia
Norway
Oman
Pakistan
Palau
Palestine State
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Are you a full-time student?
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Yes
No
What is the highest degree or level of school you have completed?
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Less than a high school diploma
High school degree or equivalent
Some college, no degree
Associate degree
Bachelor's degree
Master's degree
Professional degree
Doctoral degree
Do you have any work experience?
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Yes
No
How many years of work experience do you have?
*
Your answer
What industry or industries?
Agriculture, Forestry, & Fishing
Mining
Construction
Manufacturing
Transportation & Public Utilities
Wholesale Trade
Retail Trade
Finance, Insurance, & Real Estate
Services
Government
Other:
How many years per industry did you work?
Your answer
Are you currently working?
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Full-time
Part-time
Retired
Other:
What is your estimated peak annual income?
Less than $20,000
$20,000 to $34,999
$35,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $149,999
$150,000 to $199,999
$200,000 or more
Clear selection
Are you a native English speaker?
*
Yes
No
How did you hear about us?
Metro New York
amNewYork
New York Magazine
Google
Bing
Facebook
NYU Behavioral Lab
Flyer
Friends or Family
Other:
Clear selection
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