SMTCCAC 2024 Survey About You and Your Family Question Title * 1. City of Residence: Question Title * 2. What is your zip code? Question Title * 3. What is your role (please check all that apply)? Board/Committee Member SMTCCAC Employee SMTCCAC Program Participant General Public Public Official Head Start participant Policy Council Representative Partner Agency (name) Question Title * 4. County of Residence: Calvert County Charles County St. Mary’s Other Question Title * 5. I was born in: After 1998 1996-1998 1977-1995 1965-1976 1947-1964 1946- or prior Question Title * 6. My highest level of education is: Grade 8 or less 9-12 grade, non-graduate High school graduate/GED Some College Associate / Bachelor Degree Graduate School Other Question Title * 7. What is your race? White African American/Black Multi Race Asian Native American Other Question Title * 8. What is your ethnicity? Hispanic Non-Hispanic Question Title * 9. What is your gender? Male Female Question Title * 10. Are you are Veteran/active military? Yes No Question Title * 11. The number of people in my household, including myself is: Question Title * 12. I am registered to vote. Yes No Question Title * 13. What is your marital status? Married Separated Widowed Never Married Divorced Question Title * 14. I am currently single, head of household and live with children under age 18. Yes No Next