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1. Which ward do you live?
 
_________________________________________________
 
 
 
2. Do you live in:
 
(i) apartment,
 
(ii) condominium,
 
(iii) house
 
 
 
3. Do you own your residential unit:
 
(i) Yes
 
(ii) no
 
 
 
4. How many people live in your household unit
 
a. Less than 12 years old,
 
b. 12-18 yrs old,
 
c. 18-64
 
d. greater than 64
 
 
 
5. How many are:

 
a. Female
 
b. Male
 
 
 
6. How many have

 
a. Full time job
 
b. Contract/temporary work
 
 
 
7. How many vehicles do you own?
 
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8. Means of getting to work:
 
(i) drive
 
(ii) walk,
 
(iii) bicycle, or
 
(iv) use public transport
 
 
 
9. How many in the family
 
a. Elementary school of less
 
b. High school
 
c. College
 
d. Graduate school
 
 
 
10. What is your combined, before tax, income range
 
a. Less than or equal to $25,000
 
b. $25,000 to $50,000
 
c. $50,000 to $75,000
 
d. $75,000 to $100,000
 
e. $100,000 to $125,000
 
f. $125,000 to $150,000
 
g. $150,000 to $175,000
 
h. >$175,000
 
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