1. First name:
2. Last name:
3. Sex: Female Female Male Male
4. Age: Up to 14 Up to 14 15 - 24 15 - 24 25 - 64 25 - 64 65 and over 65 and over
5. Region of residence: Piemonte Piemonte Valle d'Aosta Valle d'Aosta Lombardia Lombardia Bolzano-Bozen Bolzano-Bozen Trento Trento Veneto Veneto Friuli-Venezia Giulia Friuli-Venezia Giulia Liguria Liguria Emilia-Romagna Emilia-Romagna Toscana Toscana Umbria Umbria Marche Marche Lazio Lazio Abruzzo Abruzzo Molise Molise Campania Campania Puglia Puglia Basilicata Basilicata Calabria Calabria Sicilia Sicilia Sardegna Sardegna Foreign countries Foreign countries
6. Education: University degree University degree Upper secondary graduates Upper secondary graduates Lower secondary or primary education Lower secondary or primary education
7. Employment status/Occupation: Businessman, director or manager Businessman, director or manager Public manager Public manager Teacher/Researcher Teacher/Researcher Journalist Journalist Freelancer Freelancer Self-employed worker Self-employed worker White-collar worker/executive officer White-collar worker/executive officer Blue-collar worker Blue-collar worker Student Student Unemployed/job-seeker Unemployed/job-seeker Other (pensioners, housewives etc...) Other (pensioners, housewives etc...)
8. Institution/Economic sector: Central government (parliament, ministries,...) Central government (parliament, ministries,...) Local authorities (municipality, province, chamb. of comm. , ...) Local authorities (municipality, province, chamb. of comm. , ...) Public research institutes Public research institutes Private research institutes Private research institutes Universities Universities Schools Schools Local health authorities, public hospitals, private clinics Local health authorities, public hospitals, private clinics Other general government Other general government International organisations International organisations Trade unions, business associations Trade unions, business associations Voluntary/non profit associations Voluntary/non profit associations Agriculture Agriculture Industry and Construction Industry and Construction Telecommunication Telecommunication Radio, television, Press/News Agencies Radio, television, Press/News Agencies Professional offices Professional offices Banking, insurance Banking, insurance Trade Trade Other services companies Other services companies Other Other

1. Preferred language for communication: Italiano
2. Themes (optional):

   1. Regional statistics
   2. Population, housing and economic censuses
   3. Business size and competitiveness
   4. Short-term indicators
   5. Sustainable development
   6. Environment and energy
   7. Population and households
   8. Households economic conditions and disparities
   9. Health and health statistics
   10. Welfare and social security
   11. Education and training
   12. Communication, culture and leisure
   13. Justice and Security
   14. Citizens' opinions and satisfaction with life
   15. Social participation
   16. National Accounts
   17. Agriculture
   18. Industry and construction
   19. Services
   20. Public Administrations and private institutions
   21. Innovation, Research and Information Society
   22. External Trade and Internationalisation
   23. Prices
   24. Labour

Personal data will be processed in compliance with the personal data protection law no. 196/2003. The data controller with regard to processing of personal data is Istat - Italian National Istitute of Statistics, via Cesare Balbo n. 16 - 00184 Roma

1. I agree to the use of my data as described in the Privacy Policy
2. I authorise Istat to contact me for any survey regarding service provided (optional)