1. Household Characteristics

* 1. Please list the ages of all members of your household on March 31, 2010:

* 2. What is your marital status?

* 3. What is your gender?

* 4. What is your country of citizenship?

* 5. What is your country of origin, if different from above?

* 6. What is the highest level of education that you or your spouse/partner have achieved?

* 7. Occupation:

* 8. What is your annual household income? (in U.S. dollars)

T