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1. Please specify your gender.
Male
Female
2. In which age-group do you fall?
16 - 19
20 - 29
30 - 39
40 - 49
50 - 59
60 - 69
70 and above.
3. Please mention the name of your city and state.
4. In what type of an accommodation do you currently live?
One bedroom accommodation
Two bedroom accommodation
Three bedroom accommodation
Four bedroom accommodation
Five bedroom accommodation
Other
5. What is the average monthly rent you pay for housing/accommodation?
$500 - $1000
$1100 - $1500
$1600 - $2000
$2100 - $2500
$2600 - $3000
$3100 - $3500
Other
6. What is the average monthly cost you pay for utilities such as gas,electricity,water,cable and internet?
Less than $100
$100 - $150
$150 - $200
$200 - $250
$250 - $300
$300 - $350
$350 - $400
$400 - $500
More than $500
7. How much do you spend per month on transportation which includes gasoline, maintenance, repairs and auto insurance?
Less than $200
$200 - $250
$250 - $300
$300 - $350
$350 - $400
$400 - $500
More than $500
8. How much do you spend per month on groceries?
Less than 200
$200 - $250
$250 - $300
$300 - $350
$350 - $400
$400 - $450
$450 - $500
More than $500
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