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Demographics Survey
There are ten questions on this survey. PLEASE SUBMIT THIS SURVEY ONLY ONCE.
1
. How many years have you lived in Burnet?
How many years have you lived in Burnet?
Less than 2 years
2-5 years
6-10 years
11-20 years
More than 20 years
2
. Do any children age 12 or under live in your household?
Do any children age 12 or under live in your household?
No
Yes
3
. Do any teenagers including and between the ages of 13 and 17 live in your household?
Do any teenagers including and between the ages of 13 and 17 live in your household?
No
Yes
4
. Are you or any members of your household age 65 or older?
Are you or any members of your household age 65 or older?
No
Yes
5
. Is any member of your household disabled or have a physical handicap?
Is any member of your household disabled or have a physical handicap?
No
Yes
6
. What is the highest degree or level of education you have completed?
What is the highest degree or level of education you have completed?
12th grade or less (no diploma)
High school diploma
Some college, no degree
Associate or technical degree
Bachelor's degree
Graduate degree/professional
7
. What category best describes your annual household income?
What category best describes your annual household income?
Less than $24,999
$25,000 to $49,999
$50,000 to 99,999
$100,000 or more
8
. What is your race?
What is your race?
American Indian or Alaskan native
Asian or Pacific Islander
black/African American
Hispanic/Latino
White/Caucasian
Other (please specify)
9
. In which category is your age?
In which category is your age?
18-24 years
25-34 years
35-44 years
45-64 years
65-74 years
75 years or older
10
. Are you registered to vote in your jurisdiction?
Are you registered to vote in your jurisdiction?
No
Yes
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