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Los Alamos Beer Co-op Survey

Basic Demographic Information (Optional)

25% of survey complete.

By supplying your basic demographic information, you will help us better determine if we are reaching our target demographic group with this survey.

Question Title

* 1. Are you male or female?

Male

Female

Question Title

* 2. Which category below includes your age?

17 or younger

18-20

21-29

30-39

40-49

50-59

60 or older

Question Title

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

Less than high school degree

High school degree or equivalent (e.g., GED)

Some college but no degree

Associate degree

Bachelor degree

Graduate degree

Question Title

* 4. How much total combined money did all members of your HOUSEHOLD earn in 2011? 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.

Less than $20,000

$20,000 to $34,999

$35,000 to $49,999

$50,000 to $74,999

$75,000 to $99,999

$100,000 to $149,999

$150,000 or More