2019 Tax Self Preparation Survey-SS Online Question Title * 1. Personal Information (optional): First Name Last Name ZIP/Postal Code Email Address Cell Phone Number OK Question Title * 2. How many individuals are in your household (please count yourself)? 1 2 3 4 5 6 7 or more Decline to Answer OK Question Title * 3. 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 OK Question Title * 4. 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 No Decline to Answer OK Question Title * 5. Please indicate which best describes your income level for filing purposes. (When you submit your survey, you will be redirected to a page that takes you to free file.) 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 OK SUBMIT SURVEY TO ACCESS FREE FILE