Oneida Early Head Start/Head Start Expansion Question Title * 1. Where do you live? Oneida Reservation Off Reservation in Brown County Off Reservation in Outagamie County Outside Brown and Outagamie Counties Question Title * 2. What is your annual current household income? <$10,000 $10,000-$19,999 $20,000-$29,999 $30,000-$39,999 $40,000-$49,999 $50,000-$74,999 $75,000-$99,999 $100,000+ Question Title * 3. How many people live in your home? 1 2 3 4 5 6 7 or more Question Title * 4. Is anyone in your home pregnant? Yes No Question Title * 5. Do you plan to have a child in the next 5 years? Yes No Not Sure Question Title * 6. What ages are the children in your home? (Select all that apply) Newborn 1 year old 2 years old 3 years old 4 years old 5 years old No children under 6 Next