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By completing this questionnaire you are providing information that will help the Town Of Annapolis Royal make decisions that will affect the landscape of your community for years to come.  Specifically the information collected will be used to plan for infrastructure, police and fire services, it will also be used to foretell requirements on items such as housing needs and health care in your community.
We would like to thank you in advance for completing this survey. If you have any questions on how to complete the information please call Lisa at 665-7526
 
 
 
Civic Address, Town, Postal Code, Phone Number
   
 
 
 
Please Give Gender and Age of all Persons in the Household (ie male, 34 years old)
   
 
 
 
Family Structure
 
Married Family
 
Common Law Family
 
Lone Parent Female
 
Lone Parent Male
 
Single/ Widow(er)/ Divorced
 
 
 
Please Give a Brief Desciption of Your Family (ie. Married Couple with Two Children, Mother-in Law and a Foster Child. OR Living with Three Roomates who are Non-Relatives)
   
 
 
 
Dwelling Type
 
Single Detached House
 
Semi-Detached/Row/Duplex
 
Apartment
 
Movable Dwellings
 
Institutional/ Long Term Care Facility
 
 
 
For Those Greater than 15 Years Old, Please Give a Brief Description of Each Persons Highest Educational Attainment (ie Male, College Diploma. Female,Trade Certificate. Female, High School Equivalency. Male, no Certificate, Diploma, Degree)
   
 
 
 
Household Income, Please Include all Sources of Income for all Persons Greater than 15 Years Old
 
Under $10,000
 
$10,000-$19,999
 
$20,000-$29,999
 
$30,000-$39,999
 
$40,000-$49,999
 
$50,000-$59,999
 
$60,000-$69,999
 
$70,000-$79,999
 
$80,000-$89,999
 
$90,000-$99,999
 
Greater than $100,000
 
 
 
Please Describe in Brief Detail the Immigration Status of the Persons in your Household.(ie Three Non-Immigrants, One Immigrant, One Non-Permanant Resident)
   
 
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