Burglary Task Force Community Survey
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1. Default Section
1
. Age of Respondent:
Age of Respondent:
Under 25 years old
25-35
35-44
45-54
55-64
65+
2
. Years of Education attained:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
20+
Years of Education attained:
3
. Household Income Bracket:
Household Income Bracket:
Less than $25,000
$25,000 - $50,000
$50,000 - $75,000
$75,000 - $100,000
more than $100,000
4
. Gender:
Gender:
Male
Female
5
. Do you own or rent your residence?
Do you own or rent your residence?
Own
Rent
*
6
. What is the zip code of your residence?
What is the zip code of your residence?
ZIP:
7
. Has your home been burglarized in the last 5 years?
Has your home been burglarized in the last 5 years?
YES
NO
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