<html><body style="font-family: Roboto,Helvetica,Arial,sans-serif; margin: 0; padding: 0; height: 100%; width: 100%;"><table border="0" cellpadding="0" cellspacing="0" style="background-color:rgb(103,58,183);" width="100%" role="presentation"><tbody><tr height="64px"><td style="padding: 0 24px;"><img alt="Google Forms" height="26px" style="display: inline-block; margin: 0; vertical-align: middle;" width="143px" src="https://www.gstatic.com/docs/forms/google_forms_logo_lockup_white_2x.png"></td></tr></tbody></table><div style="padding: 24px; background-color:rgb(237,231,246)"><table align="center" border="0" cellpadding="0" cellspacing="0" style="max-width: 672px; min-width: 154px;" width="100%" role="presentation"><tbody><tr><td style="font-size: 13px; line-height: 18px; color: #424242; font-weight: 700">Having trouble viewing or submitting this form?</td></tr><tr height="8px"><td></td></tr><tr><td><table border="0" cellpadding="0" cellspacing="0" width="100%"><tbody><tr><td><a href="https://docs.google.com/forms/d/e/1FAIpQLSdAniOpSzfU2gQcZN6BNUnAdSQ6UL_yoOGVqJY9JazMzZOQGQ/viewform?vc=0&c=0&w=1&flr=0&usp=mail_form_link" style="border-radius: 3px; box-sizing: border-box; display: inline-block; font-size: 13px; font-weight: 700; height: 40px; line-height: 40px; padding: 0 24px; text-align: center; text-decoration: none; text-transform: uppercase; vertical-align: middle; color: #fff; background-color: rgb(103,58,183);" target="_blank" rel="noopener">Fill out in Google Forms</a></td></tr></tbody></table></td></tr><tr height="24px"><td></td></tr></tbody></table><div align="center" style="background-color: #fff; border-bottom: 1px solid #e0e0e0;margin: 0 auto; max-width: 624px; min-width: 154px;padding: 0 24px;"><table align="center" cellpadding="0" cellspacing="0" style="background-color: #fff;" width="100%" role="presentation"><tbody><tr height="24px"><td></td></tr><tr><td><span style="display: table-cell; vertical-align: top; font-size: 13px; line-height: 18px; color: #424242;" dir="auto">Please complete this form so that we can gather information about everyone's workload and circumstances during the pandemic. (Closes 4 Sept)</span></td></tr><tr height="20px"><td></tr><tr style="font-size: 20px; line-height: 24px;"><td dir="auto"><a href="https://docs.google.com/forms/d/e/1FAIpQLSdAniOpSzfU2gQcZN6BNUnAdSQ6UL_yoOGVqJY9JazMzZOQGQ/viewform?vc=0&c=0&w=1&flr=0&usp=mail_form_link" style="color: rgb(103,58,183); text-decoration: none; vertical-align: middle; font-weight: 500">At-Large Meetings Workload survey</a><div itemprop="action" itemscope itemtype="http://schema.org/ViewAction"><meta itemprop="url" content="https://docs.google.com/forms/d/e/1FAIpQLSdAniOpSzfU2gQcZN6BNUnAdSQ6UL_yoOGVqJY9JazMzZOQGQ/viewform?vc=0&c=0&w=1&flr=0&usp=mail_goto_form"><meta itemprop="name" content="Fill out form"></div></td></tr><tr height="16px"></tr><tr><td style="display: table-cell; vertical-align: top; font-size: 13px; line-height: 18px; color: #424242;" dir="auto">The purpose of this survey is to identify how much time, energy and personal resources, globally situated At-Large Internet end-user volunteers commit to active engagement and participation in monthly (and sometimes weekly) online meetings (of 1 - 2 hours each) within At-Large as well as other sections of the wider ICANN community.  At-Large volunteers bring their multi-stakeholder voices to the development of policy that contributes to ICANN's role as the trusted coordinator of the Internet's unique identifiers, serving the public interest. The survey ends with a request for any suggestions of support from ICANN for active volunteers.</td></tr><tr height="24px"></tr><tr><td><div class="ss-form" style=""><form action="https://docs.google.com/forms/u/0/d/e/1FAIpQLSdAniOpSzfU2gQcZN6BNUnAdSQ6UL_yoOGVqJY9JazMzZOQGQ/formResponse" method="POST" id="ss-form" target="_self" style=""><ol role="list" class="ss-question-list" style="padding-left: 0;list-style-type:none;">
<div class="ss-form-question errorbox-good" role="listitem" style="">
<div dir="auto" class="ss-item ss-item-required ss-text" style="margin:12px 0;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;"><label class="ss-q-item-label" for="emailAddress" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">Email address
<label for="emailAddress" aria-label="(Required field)" style=""></label>
<span class="ss-required-asterisk" aria-hidden="true" style="color:#c43b1d;">*</span></div></label>
<input type="email" name="emailAddress" value="" class="ss-q-short ss-printable-text-line" id="emailAddress" dir="auto" aria-label="Must be a valid email address" title="Must be a valid email address" aria-required="true" style="">


</div></div></div>
<div class="errorbox-good" role="listitem" style="">
<div dir="auto" class="ss-item  ss-embeddable-object-container" style="margin:12px 0;max-width:100%;position:relative;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;">
<h2 class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;"></h2>
<div style="text-align: left;"><img class="ss-image" title="" src="https://lh5.googleusercontent.com/ZdF8HCiCtylC7ELcWJWo0UXVmwQC9RbEbxx6Z0vXkEPF7IYVK16wg-nHKA-ycVAWimm5h4_CP2UIIEb249oeWqdPKxNgogWXRuM40qLTvCXtTom30KczGMoobtlM" style="width: 624px;outline:none;" alt="Captionless Image"></div>
</div></div></div> <div class="ss-form-question errorbox-good" role="listitem" style="">
<div dir="auto" class="ss-item  ss-text" style="margin:12px 0;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;">
<label class="ss-q-item-label" for="entry_876543711" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">1. Name (optional)
</div>
<div class="ss-q-help ss-secondary-text" dir="auto" style="display:block;margin:.1em 0 .25em 0;color:#666;"></div></label>

<input type="text" name="entry.876543711" value="" class="ss-q-short" id="entry_876543711" dir="auto" aria-label="1. Name (optional)  " title="" style="">


</div></div></div> <div class="ss-form-question errorbox-good" role="listitem" style="">
<div dir="auto" class="ss-item  ss-radio" style="margin:12px 0;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;">
<label class="ss-q-item-label" for="entry_881853091" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">2. Region
</div>
<div class="ss-q-help ss-secondary-text" dir="auto" style="display:block;margin:.1em 0 .25em 0;color:#666;"></div></label>


<ul class="ss-choices" role="radiogroup" aria-label="2. Region  " style="list-style:none;padding:0;margin:.5em 0 0;"><li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1682876945" value="AFRALO" id="group_1682876945_1" role="radio" class="ss-q-radio" aria-label="AFRALO" style=""></span>
<span class="ss-choice-label" style="">AFRALO</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1682876945" value="APRALO" id="group_1682876945_2" role="radio" class="ss-q-radio" aria-label="APRALO" style=""></span>
<span class="ss-choice-label" style="">APRALO</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1682876945" value="EURALO" id="group_1682876945_3" role="radio" class="ss-q-radio" aria-label="EURALO" style=""></span>
<span class="ss-choice-label" style="">EURALO</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1682876945" value="LACRALO" id="group_1682876945_4" role="radio" class="ss-q-radio" aria-label="LACRALO" style=""></span>
<span class="ss-choice-label" style="">LACRALO</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1682876945" value="NARALO" id="group_1682876945_5" role="radio" class="ss-q-radio" aria-label="NARALO" style=""></span>
<span class="ss-choice-label" style="">NARALO</span>
</label></li></ul>

</div></div></div> <div class="ss-form-question errorbox-good" role="listitem" style="">
<div dir="auto" class="ss-item  ss-radio" style="margin:12px 0;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;">
<label class="ss-q-item-label" for="entry_755036689" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">3. Gender
</div>
<div class="ss-q-help ss-secondary-text" dir="auto" style="display:block;margin:.1em 0 .25em 0;color:#666;"></div></label>


<ul class="ss-choices" role="radiogroup" aria-label="3. Gender  " style="list-style:none;padding:0;margin:.5em 0 0;"><li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1556406294" value="Female" id="group_1556406294_1" role="radio" class="ss-q-radio" aria-label="Female" style=""></span>
<span class="ss-choice-label" style="">Female</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1556406294" value="Male" id="group_1556406294_2" role="radio" class="ss-q-radio" aria-label="Male" style=""></span>
<span class="ss-choice-label" style="">Male</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1556406294" value="Prefer not to say" id="group_1556406294_3" role="radio" class="ss-q-radio" aria-label="Prefer not to say" style=""></span>
<span class="ss-choice-label" style="">Prefer not to say</span>
</label></li></ul>

</div></div></div> <div class="ss-form-question errorbox-good" role="listitem" style="">
<div dir="auto" class="ss-item  ss-radio" style="margin:12px 0;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;">
<label class="ss-q-item-label" for="entry_921285291" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">4. ALS or Unaffiliated Individual Member?
</div>
<div class="ss-q-help ss-secondary-text" dir="auto" style="display:block;margin:.1em 0 .25em 0;color:#666;"></div></label>


<ul class="ss-choices" role="radiogroup" aria-label="4. ALS or Unaffiliated Individual Member?  " style="list-style:none;padding:0;margin:.5em 0 0;"><li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.871518773" value="ALS" id="group_871518773_1" role="radio" class="ss-q-radio" aria-label="ALS" style=""></span>
<span class="ss-choice-label" style="">ALS</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.871518773" value="UIM" id="group_871518773_2" role="radio" class="ss-q-radio" aria-label="UIM" style=""></span>
<span class="ss-choice-label" style="">UIM</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.871518773" value="Other" id="group_871518773_3" role="radio" class="ss-q-radio" aria-label="Other" style=""></span>
<span class="ss-choice-label" style="">Other</span>
</label></li></ul>

</div></div></div> <div class="ss-form-question errorbox-good" role="listitem" style="">
<div dir="auto" class="ss-item  ss-radio" style="margin:12px 0;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;">
<label class="ss-q-item-label" for="entry_752677930" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">5. Do you have a leadership role in At-Large?
</div>
<div class="ss-q-help ss-secondary-text" dir="auto" style="display:block;margin:.1em 0 .25em 0;color:#666;"></div></label>


<ul class="ss-choices" role="radiogroup" aria-label="5. Do you have a leadership role in At-Large?  " style="list-style:none;padding:0;margin:.5em 0 0;"><li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.806072235" value="ALAC" id="group_806072235_1" role="radio" class="ss-q-radio" aria-label="ALAC" style=""></span>
<span class="ss-choice-label" style="">ALAC</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.806072235" value="RALO Leadership" id="group_806072235_2" role="radio" class="ss-q-radio" aria-label="RALO Leadership" style=""></span>
<span class="ss-choice-label" style="">RALO Leadership</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.806072235" value="Working Group Chair" id="group_806072235_3" role="radio" class="ss-q-radio" aria-label="Working Group Chair" style=""></span>
<span class="ss-choice-label" style="">Working Group Chair</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.806072235" value="ALAC appointed role" id="group_806072235_4" role="radio" class="ss-q-radio" aria-label="ALAC appointed role" style=""></span>
<span class="ss-choice-label" style="">ALAC appointed role</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;"><label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.806072235" value="__other_option__" id="group_806072235_5" role="radio" class="ss-q-radio ss-q-other-toggle" style=""></span>
<span class="ss-choice-label" style="">Other:</span></label>
<span class="ss-q-other-container goog-inline-block" style="position:relative;display:inline-block;"><input type="text" name="entry.806072235.other_option_response" value="" class="ss-q-other" id="entry_806072235_other_option_response" dir="auto" aria-label="Other" style=""></span>
</li></ul>

</div></div></div> <div class="ss-form-question errorbox-good" role="listitem" style="">
<div dir="auto" class="ss-item  ss-radio" style="margin:12px 0;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;">
<label class="ss-q-item-label" for="entry_1348948996" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">6. How many hours do you spend on ICANN-related meetings?
</div>
<div class="ss-q-help ss-secondary-text" dir="auto" style="display:block;margin:.1em 0 .25em 0;color:#666;"></div></label>


<ul class="ss-choices" role="radiogroup" aria-label="6. How many hours do you spend on ICANN-related meetings?  " style="list-style:none;padding:0;margin:.5em 0 0;"><li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1913975871" value="1-5 hours" id="group_1913975871_1" role="radio" class="ss-q-radio" aria-label="1-5 hours" style=""></span>
<span class="ss-choice-label" style="">1-5 hours</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1913975871" value="6-10 hours" id="group_1913975871_2" role="radio" class="ss-q-radio" aria-label="6-10 hours" style=""></span>
<span class="ss-choice-label" style="">6-10 hours</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1913975871" value="10-20 hours" id="group_1913975871_3" role="radio" class="ss-q-radio" aria-label="10-20 hours" style=""></span>
<span class="ss-choice-label" style="">10-20 hours</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1913975871" value="20+ hours" id="group_1913975871_4" role="radio" class="ss-q-radio" aria-label="20+ hours" style=""></span>
<span class="ss-choice-label" style="">20+ hours</span>
</label></li></ul>

</div></div></div> <div class="ss-form-question errorbox-good" role="listitem" style="">
<div dir="auto" class="ss-item  ss-radio" style="margin:12px 0;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;">
<label class="ss-q-item-label" for="entry_770064501" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">7. Is your occupation related to the domain name industry?
</div>
<div class="ss-q-help ss-secondary-text" dir="auto" style="display:block;margin:.1em 0 .25em 0;color:#666;"></div></label>


<ul class="ss-choices" role="radiogroup" aria-label="7. Is your occupation related to the domain name industry?  " style="list-style:none;padding:0;margin:.5em 0 0;"><li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1439812912" value="Yes" id="group_1439812912_1" role="radio" class="ss-q-radio" aria-label="Yes" style=""></span>
<span class="ss-choice-label" style="">Yes</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1439812912" value="No" id="group_1439812912_2" role="radio" class="ss-q-radio" aria-label="No" style=""></span>
<span class="ss-choice-label" style="">No</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1439812912" value="Retired" id="group_1439812912_3" role="radio" class="ss-q-radio" aria-label="Retired" style=""></span>
<span class="ss-choice-label" style="">Retired</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1439812912" value="Unemployed" id="group_1439812912_4" role="radio" class="ss-q-radio" aria-label="Unemployed" style=""></span>
<span class="ss-choice-label" style="">Unemployed</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;"><label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1439812912" value="__other_option__" id="group_1439812912_5" role="radio" class="ss-q-radio ss-q-other-toggle" style=""></span>
<span class="ss-choice-label" style="">Other:</span></label>
<span class="ss-q-other-container goog-inline-block" style="position:relative;display:inline-block;"><input type="text" name="entry.1439812912.other_option_response" value="" class="ss-q-other" id="entry_1439812912_other_option_response" dir="auto" aria-label="Other" style=""></span>
</li></ul>

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<div dir="auto" class="ss-item  ss-radio" style="margin:12px 0;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;">
<label class="ss-q-item-label" for="entry_73367037" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">8. Did COVID-19 cause you to have to work from home?
</div>
<div class="ss-q-help ss-secondary-text" dir="auto" style="display:block;margin:.1em 0 .25em 0;color:#666;"></div></label>


<ul class="ss-choices" role="radiogroup" aria-label="8. Did COVID-19 cause you to have to work from home?  " style="list-style:none;padding:0;margin:.5em 0 0;"><li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1616628798" value="Yes - full time" id="group_1616628798_1" role="radio" class="ss-q-radio" aria-label="Yes - full time" style=""></span>
<span class="ss-choice-label" style="">Yes - full time</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1616628798" value="Yes - for part of the time" id="group_1616628798_2" role="radio" class="ss-q-radio" aria-label="Yes - for part of the time" style=""></span>
<span class="ss-choice-label" style="">Yes - for part of the time</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1616628798" value="No" id="group_1616628798_3" role="radio" class="ss-q-radio" aria-label="No" style=""></span>
<span class="ss-choice-label" style="">No</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1616628798" value="I am not employed" id="group_1616628798_4" role="radio" class="ss-q-radio" aria-label="I am not employed" style=""></span>
<span class="ss-choice-label" style="">I am not employed</span>
</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;"><label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1616628798" value="__other_option__" id="group_1616628798_5" role="radio" class="ss-q-radio ss-q-other-toggle" style=""></span>
<span class="ss-choice-label" style="">Other:</span></label>
<span class="ss-q-other-container goog-inline-block" style="position:relative;display:inline-block;"><input type="text" name="entry.1616628798.other_option_response" value="" class="ss-q-other" id="entry_1616628798_other_option_response" dir="auto" aria-label="Other" style=""></span>
</li></ul>

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