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What is your gender?
 
Female
 
Male
 
 
 
What is your age?
 
Under 20
 
21-30
 
31-40
 
41-50
 
51-60
 
61-70
 
71-older
 
 
 
What is the highest level of education you completed?
 
Elementary school only
 
Some high school, did not finish
 
Completed high school
 
Some college, did not finish
 
Two-year college degree/ A.A./A.S.
 
Four-year college degree/B.A./B.S.
 
Some graduate work
 
Completed masters or professional degree
 
Advanced graduate work or Ph.D.
 
 
 
How would you describe your current employment status?
 
Employed full time
 
Employed part time
 
Unemployed/looking for work
 
Unemployed/not looking
 
Student
 
Homemaker
 
Retired
 
 
 
What do you expect your 2012 family income from all sources before taxes to be?
 
Under $25,000
 
$25,000-$39,999
 
$40,000-$49,999
 
$50,000-$74,999
 
$75,000-$99,999
 
$100,000-$124,999
 
$125,000-$149,999
 
Over $150,000
 
 
 
How many stories would you like in your future home?
 
Single story
 
Two story
 
Three or more story
 
 
 
How many bedrooms would you like in your future home?
 
1
 
2
 
3
 
4
 
5+
 
 
 
How many bathrooms would you like in your future home?
 
1
 
2
 
3
 
4+
 
 
 
What other rooms are important? Circle all that apply
 
Study
 
Game room
 
Media room
 
Dining room
 
Living room

 
 
 
How soon do you want to move into a new/different home?
 
Less than 6 months
 
6 months- 1 year
 
2 years- 3 years
 
3 years +
 
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