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?
Please Select Option
Some high school or less
High school graduate
Attended some college
Associates degree
Bachelors degree
Post college graduate
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?
Please Select Option
Under 10k
10k-19k
20k-29k
30k-39k
40k-49k
50k-59k
60k-69k
70k-79k
80k-89k
90k+
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Survey Software
by ActiveCampaign