Instructions:
Please complete the following background information questions to set up an account.
All questions must be answered to generate a feedback report.

Profile Tool - Background Information
Please note: All information will be kept private and confidential. We will not reveal your identity or personal characteristics to anyone.
	First Name
	Last Name
	E-mail
	Verify E-mail
	Gender	Male Female
	Age	< 11 11-12 13-15 16-20 21-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 61-65 66-70 71-75 76-80 81-85 86-90 91-95 > 96
	Years of Full-Time Work Experience
		0 1-2 3-5 6-10 11-15 16-20 21-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 > 60
	Your current or most recent job level
	Manager/Professional Supervisor Sales Technical Administrative/Office Support Production None Other
	Highest Educational Level
	Primary School Middle School High School Junior College College Degree Master's Degree Doctorate/Professional
	Your native language
		-- Pick a language -- ArabicAwadhiAzerbaijani, SouthBengaliBhojpuriBurmeseChinese, GanChinese, HakkaChinese, JinyuChinese, MandarinChinese, Min NanChinese, WuChinese, XiangChinese, Yue (Cantonese)DutchEnglishFrenchGermanGujaratiHausaHindiItalianJapaneseJavaneseKannadaKoreanMaithiliMalayalamMarathiOriyaOtherPanjabi, EasternPanjabi, WesternPersianPolishPortugueseRomanianRussianSerbo-CroatianSindhiSpanishSundaTamilTeluguThaiTurkishUkrainianUrduVietnameseYorubaOther
	How many different languages do you speak (including your native language)?
		1 2 3 4 5 6 7 8 9 >10
	What is your country of origin (where were you born)?
		-- Pick a country -- AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChina, People's Republic ofColombiaComorosCosta RicaCroatiaCubaCyprusCzech RepublicCôte d'IvoireDem. Rep. of CongoDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFederated States of MicronesiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorwayOmanOtherPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRepublic of IrelandRepublic of MacedoniaRepublic of the CongoRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaSão Tomé and PríncipeTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweOther
	What is your country of citizenship?
		-- Pick a country -- AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChina, People's Republic ofColombiaComorosCosta RicaCroatiaCubaCyprusCzech RepublicCôte d'IvoireDem. Rep. of CongoDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFederated States of MicronesiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorwayOmanOtherPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRepublic of IrelandRepublic of MacedoniaRepublic of the CongoRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaSão Tomé and PríncipeTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweOther
	Please choose one of the following or click Other to enter the ethnicity that best describes you.
	North American Central American South American African American American Eskimo American Indian Asian American Hispanic American Native Hawaiian White American European Northern European Eastern European Southern European Western European Northern African Eastern African Southern African Western African Middle Eastern North Asian East Asian South Asian Southeast Asian Asian Indian Filipino African/Black Asian Caucasian/White Hispanic/Latino Oceanian Pacific Islander Other
	Is your ethnicity a minority group in your current work/school location?
		Yes No
	Your prior experience interacting with people from other countries
		No experience Little experience Moderately experienced Experienced Very experienced
	Your prior experience interacting with people who have different cultural backgrounds
		No experience Little experience Moderately experienced Experienced Very experienced
	Indicate each of the following regions that you have visited
		North America - Canada North America - New England states North America - South Eastern states North America - Midwest states North America - Southwest states North America - Western states Latin America (Mexico, Belize, Honduras, Costa Rica, Panama, etc.) Caribbean (Bahamas, Jamaica, Trinidad, Martinique, etc.) South America (Venezuela, Ecuador, Brazil, Argentina, Chile, etc.) Antarctica Scandinavia (Norway, Sweden, Denmark, Finland, etc.) British Isles (United Kingdom, Ireland, etc.) Northern Europe (Germany, Belgium, The Netherlands, etc.) Southern Europe (France, Italy, Spain, Portugal, Greece, etc.) Central and Eastern Europe (Poland, Hungary, Russia, Estonia, etc.) Northern Africa (Algeria, Morocco, Egypt, etc.) East Africa (Kenya, Tanzania, Uganda, etc.) West Africa (Gambia, Sierra Leone, Ghana, etc.) Southern Africa (South Africa, Botswana, Zimbabwe, Namibia, etc.) Middle East (Israel, Saudi Arabia, Iran, Iraq, etc.) Central Asia (Uzbekistan, Turkmenistan, Kazakhstan, etc.) South Asia (India, Pakistan, Afghanistan, Nepal, etc.) South East Asia (Thailand, Malaysia, Singapore, Indonesia, etc.) East Asia (China, Japan, Korea, Taiwan, etc.) Australia New Zealand Others
	How many different countries (including your current location) have you lived in (for at least 6 months) over your lifetime?
		1 2 3 4 5 6 7 8 9 10
	Password
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	Reference Number