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50.What was your total household income last year,before taxes? Let me know which category <br /> you fall into. (Choose only one. <br /> ❑ Less than $10,000 ❑ $50,000 to$74,999 <br /> ❑ $10,000 to$14,999 ❑ $75,000 to$99,999 <br /> ❑ $15,000 to$24,999 ❑ $100,000 to$249,999 <br /> ❑ $25,000 to$34,999 ❑ 250,000 or more <br /> ❑ $35,000 to$49,999 ❑ Prefer not to say <br /> 51. How many people does this income support?(If you are paying child support but your child is <br /> not living with you,this still counts as someone living on your income.) <br /> 52.What is your employment current status?(Choose all that apply) <br /> ❑ Employed full-time ❑ Disabled <br /> ❑ Employed part-time ❑ Student <br /> ❑ Retired ❑ Stay-at-home parent/spouse <br /> ❑ Armed forces ❑ Self-employed <br /> ❑ Unemployed for more than 1 year ❑ Prefer not to say <br /> ❑ Unemployed for 1 year or less <br /> READ:Thank you for your time answering these questions about health. The Orange County Health <br /> Department and Healthy Carolinians of Orange County will use the results of this survey to help <br /> identify and address the major health and community issues in our county. After these results are <br /> ready,we will host community workshops,which you are invited to,to prioritize and decide on the <br /> most important county issues. <br /> 53.Would you like to be contacted when this happens? <br /> ❑ Yes ❑ Prefer not to say <br /> ❑ No <br /> ADMIN ONLY <br /> F0110W Up (in response to question 53) <br /> Phone Number: <br /> Email: <br /> 2019 COMMUNITY HEALTH ASSESSMENT 65 <br />