Form LS-3 Person record
What is this person's name?
PedroFirst name
GarciachavezLast name
What is this person's date of birth and age?
August 19, 1972Date of birth
54Age
What is this person's sex?
- Male (selected)
- Female
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?
Carmichael, CACity and state
UrbanSetting
Is this home owned or rented?
- Owned
- Rented (selected)
CondoKind 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 large companyWork status
Monday-Friday, 8:00 to 17:00Schedule
What was this person's income in the last 12 months?
$52,077Total income
Is this person now married?
- Now married (selected)
- Not married
Adelaide Garciachavez, 56Spouse