4. What is the highest grade or year of school you have ...
PMBC Socioeconomic Status Questions 1
4. What is the highest grade or year of school you have completed?
O No formal education
O Grade 1
O Don't know
O Grade 2
O Refused
O Grade 3
O Grade 4
O Grade 5
O Grade 6
O Grade 7
O Grade 8
O Grade 9
O Grade 10
O Grade 11
O Grade 12/High school diploma/GED (General Education Diploma)
O Vocational training school after high school
O Some college/associate degree
O College graduate (4 or 5 year program)
O Master's degree (or other post-graduate training)
O Doctoral degree (PhD, MD, Ed, DVM, DDS, JD, etc)
20. What is your current employment status?
O (1) Working full time for pay
How many hours per week? _______
O (2) Working part time for pay
How many hours per week? _______
O (3) Not currently employed, looking for work
O (4) Retired
O Don't know
O (5) Homemaker
O Refused
O (6) Disabled (Not working because of permanent or temporary disability)
O (7) Other (please specify) _______________________________________________
PMBC Socioeconomic Status Questions 2
34. Using this response card, choose the category that best describes your yearly household income before taxes. Include all income received from employment, social security, support from children or other family, welfare, Aid to Families with Dependent Children (AFDC), bank interest, retirement accounts, rental property, investments, etc.
(1) Less than $5,000
O
(2) $5,000 - $9,999
O
(3) $10,000 - $14,999
O
(4) $15,000 - $19,999
O
(5) $20,000 - $29,999
O
(6) $30,000 - $39,999
O
(7) $40,000 - $49,999
O
(8) $50,000 - $59,999
O
(9) $60-000 - $74,999
O
(10) $75,000 - $99,999
O
(11) $100,000 - $124,999 O
(12) $125,000 - $149,999 O
(13) $150,000 or more
O
O Don't know O Refused
35. In the past year, how many vacations did you take out of town?
O None O 1 O 2 O 3 O 4 O 5 or more
O Don't know O Refused
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