The document outlines a survey that was conducted in multiple sections. It included questions about age ranges and income levels. Respondents were asked to identify their income level and age, and provide some additional information. The survey covered topics like employment, family size and structure.

1. 1
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√ [ ]
[ ] [ ]
[ ] [ ]15-16
[ ] 17-19 [ ] 20
[ ] [ ] [ ]
[ ] [ ] [ ] [ ]

2. 2
[ ] [ ]
[ ] [ ]
[ ] [ ]
[ ] [ ] [ ] [ ]
[ ] [ ]
[ ] 10,000 [ ] 10,001 – 15,000
[ ]15,001 – 20,000 [ ] 20,001 – 25,000
[ ] 25,001 – 30,000 [ ] 30,000
[ ] [ ]
[ ] 10,000 [ ] 10,001 – 15,000
[ ]15,001 – 20,000 [ ] 20,001 – 25,000

3. 3
[ ] 25,001 – 30,000 [ ] 30,000
[ ] [ ]5-6
[ ] 6-9 [ ]
[ ] [ ]
[ ] [ ]
[ ] [ ]
[ ] [ ]
[ ] 10,000 [ ] 10,001 – 15,000
[ ]15,001 – 20,000 [ ] 20,001 – 25,000
[ ] 25,001 – 30,000 [ ] 30,000
[ ] 10,000 [ ] 10,001 – 15,000
[ ]15,001 – 20,000 [ ] 20,001 – 25,000
[ ] 25,001 – 30,000 [ ] 30,000

4. 4
[ ] [ ]
[ ] 10,000 [ ] 10,001 – 15,000
[ ]15,001 – 20,000 [ ] 20,001 – 25,000
[ ] 25,001 – 30,000 [ ] 30,000
( - )
2.
3. ( ) ( ) ( )
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5. 5
4.
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