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Surveys
2005
June
U
Untitled
Untitled
0%
1.
Branching: Pick only age group 25-64
Age
Which of the following best describes your age?
Under 18
18-24
25-36
37-48
49-64
2.
Branching: Discard Retired..
Employment
Do you work full time or part time,
outside
the home?
Full-time [35+ Hours per week]
Part-time [15-20 Hours per week]
Full-time homemaker
Other
3.
Branching: High School Graduates and Above
Education
Which of the following best describes the highest level of education completed?
Some High School
High School Graduate
Some College
Graduated College
Post Graduate
4.
Family Status
Which of the following statements applies to you:
I have children under the age of 6 living at home
I have children between the ages of 6 and 17 living at home
I have no children under the age of 18 living at home
5. Which state do you live in?
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
6. What is your approximate annual family or single household income?
$0-$29,999
$30,000-$59,999
$60,000-$89,999
$90,000+
7.
Branching: Pick only age group 25-64
Age
Which of the following best describes your age?
Under 18
18-24
25-36
37-48
49-64
65+
8.
Branching: Discard Retired..
Employment
Do you work full time or part time,
outside
the home?
Full-time [35+ Hours per week]
Part-time [15-20 Hours per week]
Full-time homemaker
Other
Please contact
[email protected]
if you have any questions regarding this survey.
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