Form LS-3 Person record
What is this person's name?
ClaraFirst name
GonzalesLast name
What is this person's date of birth and age?
August 4, 1962Date of birth
64Age
What is this person's sex?
- Male
- Female (selected)
What is this person's race or origin?
- White
- Black or African American
- American Indian or Alaska Native
- Asian
- Hispanic or Latino (selected)
- Two or more races
Where does this person live?
Fort Wayne, INCity and state
UrbanSetting
Is this home owned or rented?
- Owned
- Rented (selected)
ApartmentKind of home
What is the highest degree or level of school this person has finished?
High School GraduateEducation
Does this person work?
Employed at a large companyWork status
Monday-Saturday, 7:00 to 16:00Schedule
What was this person's income in the last 12 months?
$44,333Total income
Is this person now married?
- Now married (selected)
- Not married
Alma Gonzales, 64Spouse