Exit UCHM Web Site Survey Question Title 1. Please list the age, gender, relationship to you, employment or school status of all the people living in your residence. You do not need to list names. Age Relationship Employment or school status for adults in your household Person 1 0-4 5-17 18-30 31-50 51-65 66-80 over 80 Person 1 Age menu yourself spouse/partner parent child friend renter/roommate Person 1 Relationship menu working full-time retired homemaker by choice disabled working part-time by choice working part-time because that's all I can find unemployed actively looking for employment working multiple jobs self employed full time student working and in school Person 1 Employment or school status for adults in your household menu Person 2 0-4 5-17 18-30 31-50 51-65 66-80 over 80 Person 2 Age menu yourself spouse/partner parent child friend renter/roommate Person 2 Relationship menu working full-time retired homemaker by choice disabled working part-time by choice working part-time because that's all I can find unemployed actively looking for employment working multiple jobs self employed full time student working and in school Person 2 Employment or school status for adults in your household menu Person 3 0-4 5-17 18-30 31-50 51-65 66-80 over 80 Person 3 Age menu yourself spouse/partner parent child friend renter/roommate Person 3 Relationship menu working full-time retired homemaker by choice disabled working part-time by choice working part-time because that's all I can find unemployed actively looking for employment working multiple jobs self employed full time student working and in school Person 3 Employment or school status for adults in your household menu Person 4 0-4 5-17 18-30 31-50 51-65 66-80 over 80 Person 4 Age menu yourself spouse/partner parent child friend renter/roommate Person 4 Relationship menu working full-time retired homemaker by choice disabled working part-time by choice working part-time because that's all I can find unemployed actively looking for employment working multiple jobs self employed full time student working and in school Person 4 Employment or school status for adults in your household menu Person 5 0-4 5-17 18-30 31-50 51-65 66-80 over 80 Person 5 Age menu yourself spouse/partner parent child friend renter/roommate Person 5 Relationship menu working full-time retired homemaker by choice disabled working part-time by choice working part-time because that's all I can find unemployed actively looking for employment working multiple jobs self employed full time student working and in school Person 5 Employment or school status for adults in your household menu Person 6 0-4 5-17 18-30 31-50 51-65 66-80 over 80 Person 6 Age menu yourself spouse/partner parent child friend renter/roommate Person 6 Relationship menu working full-time retired homemaker by choice disabled working part-time by choice working part-time because that's all I can find unemployed actively looking for employment working multiple jobs self employed full time student working and in school Person 6 Employment or school status for adults in your household menu If more than 6 people in your household, please indicate additional people Question Title 2. Had you heard of UCHM before today? no yes Question Title 3. Have you or anyone in your household ever attended any event or program offered by UCHM? no yes Next