Jewish Federation of the Berkshires 1. About You & Your Family Question Title * 1. What is your resident status in the Berkshires? (Required.) Part time Full time Question Title * 2. Where is your primary residence? (Required.) The Berkshires (including areas bordering the Berkshires in CT, NY, MA or VT) Elsewhere Question Title * 3. How much time annually do you reside in the Berkshires or its bordering environs? (Required.) 12 months 9-11 months 6-9 months 3-6 months 1-3 months less than one month weekends only Question Title * 4. What are the ages of the members who live in your household? (Required.) 0-11 years 12-17 years 18-34 years 35-49 years 50-64 years 65 years or older Member 1 (yourself) Member 1 (yourself) 0-11 years Member 1 (yourself) 12-17 years Member 1 (yourself) 18-34 years Member 1 (yourself) 35-49 years Member 1 (yourself) 50-64 years Member 1 (yourself) 65 years or older Member 2 Member 2 0-11 years Member 2 12-17 years Member 2 18-34 years Member 2 35-49 years Member 2 50-64 years Member 2 65 years or older Member 3 Member 3 0-11 years Member 3 12-17 years Member 3 18-34 years Member 3 35-49 years Member 3 50-64 years Member 3 65 years or older Member 4 Member 4 0-11 years Member 4 12-17 years Member 4 18-34 years Member 4 35-49 years Member 4 50-64 years Member 4 65 years or older Member 5 Member 5 0-11 years Member 5 12-17 years Member 5 18-34 years Member 5 35-49 years Member 5 50-64 years Member 5 65 years or older Member 6 Member 6 0-11 years Member 6 12-17 years Member 6 18-34 years Member 6 35-49 years Member 6 50-64 years Member 6 65 years or older Member 7 Member 7 0-11 years Member 7 12-17 years Member 7 18-34 years Member 7 35-49 years Member 7 50-64 years Member 7 65 years or older Member 8 Member 8 0-11 years Member 8 12-17 years Member 8 18-34 years Member 8 35-49 years Member 8 50-64 years Member 8 65 years or older Member 9 Member 9 0-11 years Member 9 12-17 years Member 9 18-34 years Member 9 35-49 years Member 9 50-64 years Member 9 65 years or older Question Title * 5. For heads of household, please indicate marital status (Required.) Single/Never Married Married Divorced Widowed Living with Domestic Partner Question Title * 6. Among married adults in your household, please describe: Both partners are Jewish Only one partner is Jewish Question Title * 7. Please indicate your approximate household income Less than $15,000 $15,001 - $34,999 $35,000 - $49,999 $50,000 - $74,999 $75,000 - $99,999 $100,000 - $149,999 $150,000 - $199,999 $200,000 - $499,999 $500,000+ Question Title * 8. How would you rate your current standard of living? (Required.) Very comfortable Comfortable Getting along Barely Getting Along Question Title * 9. How confident do you feel that you can retire in a way that will accommodate your current lifestyle? (Required.) Not at all A little Somewhat Very Question Title * 10. Where in the Berkshires or surrounding environs do you live? (either part-time or full-time) (Required.) CT-bordering the Berkshires NY- bordering the Berkshires VT- bordering the Berkshires MA- bordering the Berkshires Adams Alford Becket Cheshire Clarksburg Dalton Egremont Florida Great Barrington Hancock Hinsdale Housatonic Lanesborough Lee Lenox Monterey Mount Washington New Ashford New Marlborough North Adams Otis Peru Pittsfield Richmond Sandisfield Savoy Sheffield Stockbridge Tyringham Washington West Stockbridge Williamstown Windsor Other (please specify) 9% of survey complete. Next
