County in which you reside:  Chemung  Schuyler  Steuben Year you were born:  1920-1930  1931-1940  1941-1950  1951-1960  1961-1970 Gender:  Female  Male Marital Status:  Single  Married  Divorced  Separated Ages of Children: (check all that apply)  None  Infant to preschool  Preschool  Elementary school  Middlechool/junior high  High school  College  Adult Race:  White  Black/African American  American Indian/Alaska Native  Asian  Hispanic/Latino (Any race) How many years have you lived in this region?  1-3  4-6  6-10  11-15  More than 15 In your current job... How much was your gross salary? Less than $10,000 $10,000-19,999 $20,000-29,999 $30,000-39,999 $40,000-49,999 $50,000-59,999 $60,000-69,999 $70,000-79,999 $80,000-89,999 $90,000-99,999 $100,000 or more  annually or  per hour In what field did you work?  Manufacturing  Engineering/Technology  Child Care  Healthcare  Education  Leisure/Tourism  Small Business  Retail  Criminal Justice  Government  Construction  Finance  Insurance  Media/Communications  Real Estate  Utilities  Transportation  Hotel/Restaurant  Distribution  The Arts  Agriculture  Professional Services  Religious/Civic  Janitorial  Management  Social/Human Services  Administrative/Technical  Vehicle Service/Repair  Other?  What's the highest level of education you obtained?  High school  Certification (in what? )  Associates Degree  Bachelors Degree  Masters Degree  Doctorate Degree Have you participated in on-the-job training?  No  Yes, in this field:  Would you prefer to find a job:  In this region  Outside the region Please check any of these top jobs you would consider, even if it meant re-training, in order to work in this region:  Administrator, Elementary/Secondary School  Auto Specialty Technician  Bartender  Bio-technologist  Bookkeeping/Accounting/Auditing  Brick Mason  Bus/Truck Mechanic  Child/Family/School Social Worker  College Professor  Construction Carpenter  Construction Laborer  Corrections Officer/Jailer  Guard/Watch Guard  Home Health Aide  Mechanical Engineer  Nano-technologist  Nursing Aide/Orderly  Office/Admin Support Worker  Personal/Home Care Aide  Police Patrol Officer  Receptionist/Information Clerk  Registered Nurse  Roofer  School Bus Driver  Systems Analysts/Electronic Data Processor  Teacher, Secondary School  Truck Driver Please check any of the working conditions you would be willing to consider:  Part-time  Full-time  Temporary project-based work  Self-employment If you would consider working project-by-project, which of the following services would be beneficial to you? Please check all that apply.  On-line clearinghouse of available projects for which you could apply  Health insurance  "Project agency" that would provide some of the benefits of an employer such as health insurance, billing clients and paying you, paying taxes, promoting your services, etc.