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Sex:
 
Male
 
Female
 
No Comment
 
 
 
What is your age?
 
18-24 years old
 
25-34 years old
 
35-44 years old
 
45-54 years old
 
55-64 years old
 
65 years or older
 
 
 
Ethnicity Origin (or race):
 
White
 
Hispanic or Latino
 
Black or African American
 
Native American or American Islander
 
Asian/ Pacific Islander
 
Other
 
 
 
What is the highest degree or level of school you have completed?
 
No Schooling Completed
 
Nursery school to 8th grade
 
Some high school, No diploma
 
High School graduate, diploma, or the equivalent (GED)
 
Some college credit, no degree
 
Trade/ technical/ vocational training
 
Associate degree
 
Bachelor's degree
 
Further education
 
 
 
Marital status:
 
Single, never married
 
Married or domestic partnership
 
Widowed
 
Divorced
 
Seperated
 
 
 
Annual household income:
 
Less than $24,999
 
$25,000-$49,000
 
$50,000-$99,999
 
$100,000 or more
 
 
 
Employment status:
 
Employed for wages
 
Self-employed
 
Out of work in looking for work
 
Out of work but no currently looking for work
 
A homemaker
 
Student
 
Military
 
Retired
 
Unable to work
 
 
 
In what industry is the major wage earner in your home employed?
 
Agriculture
 
Mining
 
Construction
 
Manufacturing
 
Retail/ wholesale
 
Transportation, communication, and public utilities
 
Finance, insurance, real estate
 
Government (includes education)
 
Services (includes retail)
 
Retired
 
Homemaker
 
Student
 
Other
 
 
 
 
How many individuals are living within your household:
 
1-3 persons
 
4-7 persons
 
8 or more people
 
 
 
Are you renting or buying/owning your own home?
 
Renting
 
Buying/Own
 
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