&n

Your opinion is important to us.
PLEASE TAKE A FEW MINUTES TO COMPLETE THIS SURVEY. 

How long have you lived in Jefferson County?

Question Title

* 1. How long have you lived in Jefferson County?

What is your zip code?

Question Title

* 2. What is your zip code?

Of the list below, which SIX issues concern you the most in your neighborhood or community?

Question Title

* 3. Of the list below, which SIX issues concern you the most in your neighborhood or community?

Of the list below, which SIX are most important issues for your family?

Question Title

* 4. Of the list below, which SIX are most important issues for your family?

What is your age?

Question Title

* 5. What is your age?

What is your gender?

Question Title

* 6. What is your gender?

What is your ethnic group?

Question Title

* 7. What is your ethnic group?

What is the highest level of education you achieved? Check one.

Question Title

* 8. What is the highest level of education you achieved? Check one.

Are you the head of your household?

Question Title

* 9. Are you the head of your household?

Do you own or rent you home?

Question Title

* 10. Do you own or rent you home?

What is your employment status? Check one.

Question Title

* 11. What is your employment status? Check one.

Do you have health insurance? Check one.

Question Title

* 12. Do you have health insurance? Check one.

How many adults, counting yourself, live in your household?

Question Title

* 13. How many adults, counting yourself, live in your household?

How many children (ages birth-17) live in your household?

Question Title

* 14. How many children (ages birth-17) live in your household?

Is anyone in your household disabled? 

Question Title

* 15. Is anyone in your household disabled? 

If yes, how old are they?

Question Title

* 16. If yes, how old are they?

What is your annual income?

Question Title

* 17. What is your annual income?

We welcome your additional comments...

Question Title

* 18. We welcome your additional comments...

You're done! Thank you for completing the JCCEO 2017 Client Survey!

T