Are you male or female?

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* 1. Are you male or female?

Which category below includes your age?

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* 2. Which category below includes your age?

Is English your primary language?

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* 3. Is English your primary language?

Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian, Pacific Islander, or some other race?

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

Do you receive transportation services from other government, non-profit, or private agencies?

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* 5. Do you receive transportation services from other government, non-profit, or private agencies?

Do any of the following apply to your current situation?

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* 6. Do any of the following apply to your current situation?

What is your current living arrangement?

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* 7. What is your current living arrangement?

Which of the following categories best describes your employment status?

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

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

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

How much total combined money did all members of your HOUSEHOLD earn in 2015? 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.

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* 10. How much total combined money did all members of your HOUSEHOLD earn in 2015? 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.

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