EITC Tax Campaign 2018: Survey

Survey for income tax filers through Central California Legal Service's EIC Tax Campaign.

TODAY'S DATE:

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* 1. TODAY'S DATE:

ex. 02/05/2018
Gender:

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* 3. Gender:

Ethnicity

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* 5. Ethnicity

What is your PRIMARY LANGUAGE?

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* 6. What is your PRIMARY LANGUAGE?

Is this your first time filing taxes through the CCLS: EITC TAX CAMPAIGN?

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* 7. Is this your first time filing taxes through the CCLS: EITC TAX CAMPAIGN?

If question 7 is YES, then how did you hear about our tax assistance site?

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* 8. If question 7 is YES, then how did you hear about our tax assistance site?

What is your FILING STATUS for Tax Year 2017?

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* 9. What is your FILING STATUS for Tax Year 2017?

How much total FEDERAL REFUND did you receive? *Do NOT enter $ sign or commas

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* 12. How much total FEDERAL REFUND did you receive? *Do NOT enter $ sign or commas

How much EARNED INCOME CREDIT (EITC) did you receive? *Do NOT enter $ sign or commas

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* 13. How much EARNED INCOME CREDIT (EITC) did you receive? *Do NOT enter $ sign or commas

Have you received EARNED INCOME CREDIT before?

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* 14. Have you received EARNED INCOME CREDIT before?

How much TOTAL STATE REFUND did you receive? DO NOT enter $ sign or commas.

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* 15. How much TOTAL STATE REFUND did you receive? DO NOT enter $ sign or commas.

How much CAL EITC did you receive? DO NOT enter $ sign or commas.

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* 16. How much CAL EITC did you receive? DO NOT enter $ sign or commas.

How will you be using your TAX REFUND?

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* 17. How will you be using your TAX REFUND?

If CCLS is unable to offer this free tax assistance next year, how will you be filing your 2018 taxes?

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* 18. If CCLS is unable to offer this free tax assistance next year, how will you be filing your 2018 taxes?

Would you like more information on any of the following?

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* 19. Would you like more information on any of the following?

OPTIONAL

We would love to hear about how our tax assistance site or your tax refund has affected you.
If you'd like to share your story, please provide your contact information and a 1 to 2 sentence summary of your story. We will contact you soon.

Thank you for participating in this CCLS survey!

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* 20. OPTIONAL

We would love to hear about how our tax assistance site or your tax refund has affected you.
If you'd like to share your story, please provide your contact information and a 1 to 2 sentence summary of your story. We will contact you soon.

Thank you for participating in this CCLS survey!

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