Form LS-3 Person record
What is this person's name?
PennyFirst name
DahlinLast name
What is this person's date of birth and age?
June 11, 2010Date of birth
16Age
What is this person's sex?
- Male
- Female (selected)
What is this person's race or origin?
- White (selected)
- Black or African American
- American Indian or Alaska Native
- Asian
- Hispanic or Latino
- Two or more races
Where does this person live?
Concord, NHCity and state
RuralSetting
Is this home owned or rented?
- Owned (selected)
- Rented
HouseKind of home
What is the highest degree or level of school this person has finished?
Secondary SchoolEducation
Does this person work?
Employed at a large companyWork status
Monday-Friday, 7:00 to 16:00Schedule
What was this person's income in the last 12 months?
$69,749Total income
Is this person now married?
- Now married
- Not married (selected)
YesChildren