Wireless RERC survey of User Needs

Please Note: This survey requires javascript be enabled on your browser for it to function properly.

 

PART 1. Information about you

Instructions: Please select the answer that best describes you.

 

1.1 What is your gender?

1.3 What is your ethnic background?
(check all that apply)

/ African American
/ Latino

/ Caucasian
1.4 What is the highest level of education you have completed?




or Professional Degree (MA, MS, MBA, JD, MD)
1.5 What is your annual gross household income?






1.6 Where is your home?

area
area
1.7 Do you live alone?

1.8 Are you employed?



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If you need help with this survey, please call (404) 367-1348 or (800) 582-6360 or email: wirelessrerc@shepherd.org