Business Insider Money Survey
Please register your interest to participate in a project with Business Insider about the money challenges facing the average American today. Each participant, should you be selected, will be asked a short series of questions about their perception of their own finances and their experience with personal finance. 

We are looking to poll people ages 18 to 98, so if you have older relatives or peers that you can pass this form on to or help facilate their participation that would be appreciated.  

Please only respond to this form if you have been living in America for at least 3 years and are over the age of 18 years old. 

You should be willing to have your full name, age, job role, and photograph of yourself published in the final project. 

If you are happy with this, please fill out the form below and we'll get back to you shortly if you've been selected to take part in the project. 
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What is your full name?  *
What age range do you fit into? *
How old are you exactly?  *
Where in America do you live? (City, State) *
What is your email address?  *
What is your current job role? *
What is your race and nationality? *
How do you identify:  *
What is the highest level of education you have completed? *
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