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

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* 3. What is your gender?

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* 4. Which category below includes your age?

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

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

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

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* 8. How much total combined money did all members of your HOUSEHOLD earn last year?

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

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

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* 11. 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?

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* 12. Which of the following best describes your current relationship status?

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

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