*What is your five-digit zip code?

Do you have a spouse that lives with you?

*How many of your and/or your spouse's children under 21 live with you?

*How many other children under 21 live with you?

*How many other adults, age 21 or older, live with you?

Note: Include all children 21 and older, but do not include your spouse.

Is everyone in your household a US citizen?

Note: If you answer "No" to this question, you will be asked about the immigration status of each person in your household. You do not need to be a citizen to qualify for some benefits.

Does everyone in your household share food?

Is anyone in your household blind or disabled?

Are any children in your household in foster care or adoption assistance programs?