Demographic survey USA

Demographic survey USA

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Demographic survey USA

Hello,

Please take a few minutes of your time to fill in the following survey.

1. In which of the following states do you live?

  • 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

2. Please write your postal or zip code:

500

3. Please confirm your gender:

  • Male
  • Female

4. To which of the following age ranges do you belong?

  • Under 17
  • 17 - 20
  • 21 - 30
  • 31 - 40
  • 41 - 50
  • 51 - 60
  • Over 60

5. What is your highest achieved level of education?

  • Incomplete elementary school
  • Elementary school
  • High school / incomplete
  • High school / completed
  • Higher vocational or technical college education
  • University bachelors degree
  • University Masters degree
  • University specialist degree (Doctoral, Legal)

6. Do you live with an entrepreneur or small business owner?

  • Yes
  • No

7. Which of the following best describes your current employment status?

  • Unemployed., Looking for work
  • Unemployed, Not looking for work
  • Employed at or close to the minimum wage
  • Employed part-time
  • Employed full-time
  • Retired
  • Disabled, Unable to work

8. What was your total income in 2016? (without deductions)

Include the net income from labour , business , pensions , dividends , interest , benefits, social benefits , unemployment benefits , and any other form of income .

500

9. What was the combined income of your household in 2011? (Without deductions)

Include the net income from labour , business , pensions , dividends , interest , benefits, social benefits , unemployment benefits , and any other form of income, also the income of those in your household aged 18 or above.

500

10. What is your current accommodation status?

  • Subletting
  • Renting
  • Living with parents
  • Living with an elderly relative
  • House or appartment owned by the family
  • Homeless
  • Currently at the liberty of HM Prision service

11. What is your marital status?

  • Married
  • Single
  • Surviving partner (Widower/Widow)

12. How many children under the age of 18 currently live in your household? (including yourself)

500

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