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Typical Customer Demographics Form
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* Indicates required question
How old is your typical customer? (Check all that apply)
*
17 or younger
18-20
21-29
30-39
40-49
50-59
60-64
65 or older
Required
What gender is your typical customer?
*
Male
Female
Both Male and Female
What is the highest level of school your typical customer has completed or the highest degree they have received? (Check all that apply)
*
Less than high school degree
High school degree or equivalent (e.g., GED)
Some college but no degree
Associate degree
Bachelor degree
Graduate degree
Required
Which of the following categories best describes your typical customer's employment status? (Check all that apply)
*
Employed, working 1-39 hours per week
Employed, working 40 or more hours per week
Not employed, looking for work
Not employed, NOT looking for work
Retired
Disabled, not able to work
Required
What is your typical customer's yearly household income? (Check all that apply)
*
Less than $20,000
$20,000 to $34,999
$35,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $149,999
$150,000 to $199,999
$200,000 or more
Required
Is your typical customer currently married, widowed, divorced, separated, or never married? (Check all that apply)
*
Widowed
Married
Divorced
Separated
Never married
Required
Does your typical customer have children, or not?
*
Yes, they do
No, they do not
They may or may not
Is your typical customer's living quarters owned or being bought by them or someone in their household, rented for cash, or occupied without payment of cash rent? (Check all that apply)
*
Owned or being bought by them or someone in their household
Rented for cash
Occupied without payment of cash rent
Required
Does your typical customer own a business or a farm?
*
Yes, they do
No, they do not
Some may and some may not
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