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.