James Sprunt CC-Single Stop 2019 Tax Self Preparation Survey

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* 1. Personal Information (optional):

First Name

Last Name

ZIP/Postal Code

Email Address

Cell Phone Number

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* 2. How did you hear about this free tax filing opportunity?

Flyer or Poster

Word of mouth – professor, friend, relative or other person

Texting, email or other electronic form not inclusive of social media

Social media - Face Book, Twitter, etc....

College Website

Single Stop Office/Staff

Other

Decline to answer

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* 3. Are you filing your taxes with or without dependent children?

With dependent children

Without dependent children

Decline to answer

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* 4. What is you tax filing status?

Single

Married Filing Joint

Married Filing Separate

Head of Household

Widower

Decline to answer

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* 5. How many individuals are in your household (please count yourself)?

7 or more

Decline to Answer

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* 6. What is your current employment status?

Full Time Employed

Part Time Employed

Seasonal Worker

Unemployed

Never employed

Retired

Decline to answer

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* 7. What is the range of income for your entire household?

Under $9999

Between $10,000 and $19,999

Between $20,000 and $29,999

Between $30,000 and $39,999

Between $40,000 and $49,999

Over $50,000

Decline to answer

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* 8. Are you interested in learning about additional public benefits or local resources for which you may be eligible such as SNAP, WIC or health insurance?

Yes

Decline to Answer

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* 9. Please indicate which best describes your income for tax filing. Once you click to submit your survey, you will be directed to choose the proper filing link for your income level.

For more information about how your Civil Rights are protected by the IRS, Click Here.

I am filing with an income under $34,000.

I am filing with an income between $34,001 and $66,000

My income is above $66,001 and I am not eligible for free self-file.

Decline to Answer

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* 1. Personal Information (optional):

Question Title

* 2. How did you hear about this free tax filing opportunity?

Question Title

* 3. Are you filing your taxes with or without dependent children?

Question Title

* 4. What is you tax filing status?

Question Title

* 5. How many individuals are in your household (please count yourself)?

Question Title

* 6. What is your current employment status?

Question Title

* 7. What is the range of income for your entire household?

Question Title

* 8. Are you interested in learning about additional public benefits or local resources for which you may be eligible such as SNAP, WIC or health insurance?

Question Title

* 9. Please indicate which best describes your income for tax filing. Once you click to submit your survey, you will be directed to choose the proper filing link for your income level.For more information about how your Civil Rights are protected by the IRS, Click Here.

* 9. Please indicate which best describes your income for tax filing. Once you click to submit your survey, you will be directed to choose the proper filing link for your income level.

For more information about how your Civil Rights are protected by the IRS, Click Here.