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* 1. I became unemployed long-term in:

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* 2. Which of the following categories best describes your current employment status?

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* 3. Which of the following best describes your occupation before becoming unemployed long-term?

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* 4. I have taken advantage of job-related training available to me through the Department of Labor or other agencies.

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* 5. How likely are you to search for a new job in the next 30 days?

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* 6. Which category below includes your age?

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* 7. Are you male or female?

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* 8. What is the highest level of school you have completed or the highest degree you have received?

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* 9. If given the opportunity to receive free educational training for an occupation outside of your past one how likely would you take it?

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* 10. How long would you be willing to remain in your free educational program if guaranteed full-time employment in a high demand position was the end result?

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