Form LS-3 Person record
What is this person's name?
MonicaFirst name
AmparoLast name
What is this person's date of birth and age?
November 22, 1985Date of birth
40Age
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?
Davie, FLCity and state
UrbanSetting
Is this home owned or rented?
- Owned
- Rented (selected)
TownhouseKind of home
What is the highest degree or level of school this person has finished?
Bachelor's degreeEducation
Does this person work?
Employed at a small businessWork status
Monday-Friday, 9:00 to 17:00Schedule
What was this person's income in the last 12 months?
$2,035Total income
Is this person now married?
- Now married
- Not married (selected)
NoneChildren