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❑ Married ❑ Widowed <br />❑ Not married, living with ❑ Never married <br />partner <br />❑ Divorced or separated <br />D4. Other than you, do you have any of the following people living in your household? <br />CHECK ALL THAT APPLY. <br />Yes No <br />a. Child/children under 18 .......................................... <br />❑ ❑ b. <br />Child/children 18 or older ...................................... <br />❑ ❑ C. <br />Child/children away at college <br />❑ ❑ d. <br />................................................................... <br />❑ ❑ e. <br />relative or friend 18 or older .............. <br />D5. What language is spoken in your home? <br />❑ English only <br />❑ English mostly <br />❑ Spanish only <br />............................... <br />Parents <br />Other adult <br />❑ ❑ <br />❑ English and Spanish <br />❑ Other, specify: <br />D6. What is your race and/or ethnicity? [CHECK ALL THAT APPLY] <br />❑ White or Caucasian <br />❑ Black or African American <br />❑ American Indian or Alaska Native <br />❑ Asian <br />❑ Native Hawaiian or other Pacific Islander <br />❑ Other, please specify: <br />D7. What is the highest level of education you have completed? <br />❑ K -12th grade (no diploma) <br />❑ High school graduate, GED or equivalent <br />❑ Post -high school education/training (no degree) <br />❑ 2 or 4 year college degree <br />❑ Post -graduate study (no degree) <br />❑ Graduate or professional degree(s) <br />D8. In general, how often do you go online to access the Internet for things like email, news and <br />information, paying bills or buying products or services? This includes access from home, <br />111 <br />