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Jewish Federation of the Berkshires
6.
About You & Your Family
*
1.
What is your resident status in the Berkshires?
(Required.)
Part time
Full time
*
2.
Where is your primary residence?
(Required.)
The Berkshires (including areas bordering the Berkshires in CT, NY, MA or VT)
Elsewhere
*
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
*
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)
0-11 years
12-17 years
18-34 years
35-49 years
50-64 years
65 years or older
Member 2
0-11 years
12-17 years
18-34 years
35-49 years
50-64 years
65 years or older
Member 3
0-11 years
12-17 years
18-34 years
35-49 years
50-64 years
65 years or older
Member 4
0-11 years
12-17 years
18-34 years
35-49 years
50-64 years
65 years or older
Member 5
0-11 years
12-17 years
18-34 years
35-49 years
50-64 years
65 years or older
Member 6
0-11 years
12-17 years
18-34 years
35-49 years
50-64 years
65 years or older
Member 7
0-11 years
12-17 years
18-34 years
35-49 years
50-64 years
65 years or older
Member 8
0-11 years
12-17 years
18-34 years
35-49 years
50-64 years
65 years or older
Member 9
0-11 years
12-17 years
18-34 years
35-49 years
50-64 years
65 years or older
*
5.
For heads of household, please indicate marital status
(Required.)
Single/Never Married
Married
Divorced
Widowed
Living with Domestic Partner
6.
Among married adults in your household, please describe:
Both partners are Jewish
Only one partner is Jewish
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+
*
8.
How would you rate your current standard of living?
(Required.)
Very comfortable
Comfortable
Getting along
Barely Getting Along
*
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
*
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)
55%