(If Yes) How many of these children living with you as part of your family were:
If no children in a category, enter "0."

1 _____ Under age 2
2 _____ Aged 2-5
3 _____ Aged 6-11
4 _____ Aged 12-18
5 _____ Aged 19 or older

(If Yes) How many of these children living with you as part of your family were...
If no children in a category, enter "0."

1 _____ Under age 2
2 _____ Aged 2-5
3 _____ Aged 6-11
4 _____ Aged 12-18
5 _____ Aged 19 or older

(If Yes) How many of these children living with you as part of your family were...
If no children in a category, enter "0."

_____ 1 Under age 2
_____ 2 Aged 2-5
_____ 3 Aged 6-11
_____ 4 Aged 12-18
_____ 5 Aged 19 or older

(If Yes) How many of these children living with you as part of your family were...
If no children in a category, enter "0."

1 Under age 2 _____ (Number of children)
2 Aged 2-5 _____ (Number of children)
3 Aged 6-11 _____ (Number of children)
4 Aged 12-18 _____ (Number of children)
5 Aged 19 or older _____ (Number of children)

(If Yes) How many of these children living with you as part of your family were...
If no children in a category, enter "0"

Number of Children _____ 1. Under age 2
Number of Children _____ 2. Aged 2-5
Number of Children _____ 3 Aged 6-11
Number of Children _____ 4. Aged 12-18
Number of Children _____ 5. Aged 19 or older

(If Yes) How many of these children living with you as part of your family were...
If no children in a category, enter "0."

1 Under age 2 _____ (Number of children)
2 Aged 2-5 _____ (Number of children)
3 Aged 6-11 _____ (Number of children)
4 Aged 12-18 _____ (Number of children)
5 Aged 19 or older _____ (Number of children)

(If Yes) How many of these children living with you as part of your family were...
If no children in a category, enter "0."

1 Under age 2 _____ (Number of children)
2 Aged 2-5 _____ (Number of children)
3 Aged 6-11 _____ (Number of children)
4 Aged 12-18 _____ (Number of children)
5 Aged 19 or older _____ (Number of children)

(If Yes) How many of these children living with you as part of your family were...
If no children in a category, enter "0"

Number of Children _____ 1. Under age 2
Number of Children _____ 2. Aged 2-5
Number of Children _____ 3 Aged 6-11
Number of Children _____ 4. Aged 12-18
Number of Children _____ 5. Aged 19 or older

(If Yes) How many of these children living with you as part of your family were...
If no children in a category, enter "0."

1 Under age 2 _____ (Number of children)
2 Aged 2-5 _____ (Number of children)
3 Aged 6-11 _____ (Number of children)
4 Aged 12-18 _____ (Number of children)
5 Aged 19 or older _____ (Number of children)

(If Yes) How many of these children living with you as part of your family were...
If no children in a category, enter "0."

1 Under age 2 _____ (Number of children)
2 Aged 2-5 _____ (Number of children)
3 Aged 6-11 _____ (Number of children)
4 Aged 12-18 _____ (Number of children)
5 Aged 19 or older _____ (Number of children)

(If Yes) How many of these children living with you as part of your family were...
If no children in a category, enter "0"

Number of Children _____ 1. Under age 2
Number of Children _____ 2. Aged 2-5
Number of Children _____ 3 Aged 6-11
Number of Children _____ 4. Aged 12-18
Number of Children _____ 5. Aged 19 or older

(If Yes) How many of these children living with you as part of your family were . . .
If no children in a category, enter ?0.?

1 Under age 2...............Number of Children ___
2 Aged 2-5....................Number of Children ___
3 Aged 6-11..................Number of Children ___
4 Aged 12-18................Number of Children ___
5 Aged 19 or older .......Number of Children ___

(If Yes) How many of these children living with you as part of your family were...
If no children in a category, enter "0."

1 Under age 2 _____ (Number of children)
2 Aged 2-5 _____ (Number of children)
3 Aged 6-11 _____ (Number of children)
4 Aged 12-18 _____ (Number of children)
5 Aged 19 or older _____ (Number of children)

(If Yes) How many of these children living with you as part of your family were...
If no children in a category, enter "0"

Number of Children _____ 1. Under age 2
Number of Children _____ 2. Aged 2-5
Number of Children _____ 3 Aged 6-11
Number of Children _____ 4. Aged 12-18
Number of Children _____ 5. Aged 19 or older