Exit this survey Lively More Information Survey Question Title * 1. What is your gender? Female Male Other (specify) Question Title * 2. Which category below includes your age? 17 or younger 18-20 21-29 30-39 40-49 50-59 60 or older Question Title * 3. What is the highest level of school you have completed or the highest degree you have received? Less than high school degree High school degree or equivalent (e.g., GED) Some college but no degree Associate degree Bachelor degree Graduate degree Question Title * 4. Which of the following categories best describes your employment status? Employed, working 40 or more hours per week Employed, working 1-39 hours per week Not employed, looking for work Not employed, NOT looking for work Retired Disabled, not able to work Question Title * 5. How much total combined money did all members of your HOUSEHOLD earn last year? $0 to $9,999 $10,000 to $24,999 $25,000 to $49,999 $50,000 to $74,999 $75,000 to $99,999 $100,000 to $124,999 $125,000 to $149,999 $150,000 to $174,999 $175,000 to $199,999 $200,000 and up Prefer not to answer Question Title * 6. What Program(s) at Lively Technical Center interest you? (Check all that apply) Air Conditioning Refrigeration & Heating Technology (HVAC) Carpentry Electricity Digital Design Digital Media / Multimedia Design Commercial Photography Technology Accounting Operations Administrative Office Specialist Legal Administrative Specialist Medical Administrative Specialist Massage Therapy Medical Assisting Patient Care Technician (CNA+) Pharmacy Technician Practical Nursing (LPN) Commercial Food & Culinary Arts Barbering Cosmetology Web Development Welding Technology Automotive Service Technology Aviation Airframe Mechanics Aviation Powerplant Mechanics Adult Basic Education (ABE) GED Motorcycle Basic Rider Training Commercial Driver License Exam (CDL) Facial Speciality Nail Specialty Other (please specify) Question Title * 7. What is the best way to contact you? Phone Text Message Email Question Title * 8. When would you likely begin attending classes at Lively Technical Center? Fall 2017 Spring 2018 Undecided Other (please specify) Question Title * 9. Are you interested in attending classes full time or part time? Full Time Part Time Undecided Question Title * 10. Will you need Financial Assistance to pay for classes? Yes No Unsure Question Title * 11. Would you like some information sent to you about Financial Assistance? Yes, please send me information Not at this time Done
