Tulare County Teen Pregnancy

I am a

Parent

College Student

I am:

Single

Married

Divorced/Widowed

in a long-term committed relationship

Did you graduate high school? If yes, what year?

What is your gender?

Male

Female

What is your marital status?

What is your age?

What is the highest level of education you have achieved?

Less than high school degree

High school degree or equivalent (e.g. GED)

Some college but no degree

Associate degree (e.g. AA, AS)

Bachelor's degree (e.g. BA, AB, BS)

Master's degree (e.g. MA, MS, MBA)

Professional degree (e.g. MD, DDS, JD)

Doctorate degree (e.g. PhD)

Please describe your current residence:

Owned by you or someone in household with a mortgage or loan

Owned by you or someone in household free and clear (no mortgage or loan)

Rented

Occupied without payment of rent

Which of the following categories best describes the industry you work in?

Which category best describes your annual income?

How many children do you have?

What year of school are you in?