1. RESPONDENT CHARACTERISTICS

* 1. To which of the following age groups do you currently belong:

* 2. Are you:

* 3. Which of the following do you consider to be your primary race:

* 4. Counting income from all sources for everyone living in your household, which category below represents your annual household income for 2015 before taxes (gross income):

* 5. In what county do you live?

* 6. In what county do you work?

* 7. How many people are currently living in your house?

* 8. How many are adults age 65 years or older? (Include yourself if appropriate)

* 9. How many children under 18 years old?

* 10. Of those children, how many are:

  0 1 2 3 4 5 6 7
Pre-Kindergarten in age
Grades K-6
Grades 7-12
Page1 / 4
 
25% of survey complete.

T