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What is your gender?
 
male
 
female
 
 
 
What is your age?
   
 
 
 
What is your marital status?
 
Single, never married
 
Married or domestic partnership
 
Widowed
 
Divorced
 
Separated
 
 
 
Employment Status: Are you currently..?
 
Employed for wages
 
Self-employed
 
Out of work and looking for work
 
Out of work but not currently looking for work
 
A homemaker
 
A student
 
Military
 
Retired
 
Unable to work
 
 
 
What is your primary language?
 
Hebrew
 
English
 
Arabic
 
Italian
 
French
 
Spanish
 
Chinese
 
Other
 
 
 
 
What is the highest level of education you have completed?
 
Grammar school
 
High school or equivalent
 
Vocational/technical school (2 year)
 
Some college
 
Bachelor's degree
 
Master's degree
 
Doctoral degree
 
Professional degree (MD, JD, etc.)
 
Other
 
 
 
 
Where do you currently reside?
   
 
 
 
How long have you been living there?
 
less than 9 years
 
10-19 years
 
20-29 years
 
30-39 years
 
More than 40 years
 
All my life
 
 
 
Where were you born?