* 2. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

* 3. Are you male or female?

* 4. Which category below includes your age?

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

* 6. Does anyone in your household own a business or a farm?

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

* 8. How much money did YOU personally earn in 2012
? 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 YOU. Please report the total amount of money you earned - do not subtract the amount you paid in taxes or any deductions listed on your tax return.

* 9. How much total combined money did all members of your HOUSEHOLD earn in 2012
? 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.

* 10. Are you Mexican, Mexican-American, Chicano, Puerto Rican, Cuban, Cuban-American, or some other Spanish, Hispanic, or Latino group?

* 11. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?

* 12. Are your living quarters owned or being bought by you or someone in your household, rented for cash, or occupied without payment of cash rent?

* 13. Are you now married, widowed, divorced, separated, or never married?

* 14. How many children age 17 or younger live in your household?

T