General Demographics Survey

1.
What is your gender?
Male
Female

2.
How old are you?
Under 20 years
20 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
50 - 54
55 - 59
60 - 64
65+

3.
Which of the following best represents the highest level of education that you have completed?

4.
What is your maritial status?
Married
Not married

5.
What are the age ranges of any children?
Under 6 years
6 - 12
13 - 18
Have no children under 18 living in house hold

6.
With which of the following groups do you most identify?
African - American
Asian - American or Pacific Islander
Hispanic/Latino
Native American
Caucasion
Other

7.
Which of the following best describes your annual salary (plus any bonus) before taxes?


 

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