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Demographic Survey

Please select a value for the following:

Gender

Age

How many dependents living with you?

Highest Level of Education:

At any time IN THE LAST 12 MONTHS, have you attended regular school or college?

Have you ever served on active duty in the U.S. Armed Forces, Military Reserves, or National Guard? (Active duty does not include training for the Reserves or National Guard, but DOES include activation.)

Current or Most Recent Job Activity: Select the statement that best describes your most recent job activity or business. If you had more than one job, describe the one at which you worked the most hours.

	An employee of a PRIVATE FOR PROFIT company or business, or of an individual, for wages, salary, or commissions
	An employee of a PRIVATE NOT FOR PROFIT, tax-exempt, or charitable organization
	A local GOVERNMENT employee (city, county, etc.)
	A state GOVERNMENT employee
	A Federal GOVERNMENT employee
	SELF-EMPLOYED in own NOT INCORPORATED business, professional practice or farm
	SELF-EMPLOYED in own INCORPORATED business, professional practice or farm
	Working WITHOUT PAY in family business or farm

What was your individual gross income for last year?

What was your family gross income for last year?

10.

Do you commute to work (present or previous employment)?

Amount of miles traveled to work:

Please enter any comments that you would like to share either about the NorthernMaineJobs.com site, the region, or your perceptions about Aroostook County, Maine.

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