* 1. Where do you live?

* 2. Are you male or female?

* 3. Which category below includes your age?

* 4. What is the highest level of school you have completed or the highest degree you have received?

* 5. Which of the following categories best describes your employment status?

* 6. How much total combined money did all members of your HOUSEHOLD earn in 2010? This includes money from jobs; net income from business, farm, or rent; pensions; dividends; interest; social security payments; and any other money income received by members of your HOUSEHOLD that are EIGHTEEN (18) years of age or older. Please report the total amount of money earned - do not subtract the amount you paid in taxes or any deductions listed on your tax return.

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