4 . 
Please CIRCLE ALL those WHICH APPLY to yourself 
1 Employed full-time 
2 Employed part-time 
3 Volunteer work 
4 Unemployed 
5 Student 
6 Retired 
7 Homemaker 
8 Disabled 
5. 
6 . 
What was the approximate TOTAL INCOME of your HOUSEHOLD before taxes last 
year (1992), in US dollars? (Circle one) 
1 
Less than 
$15,000 
2 
$15,000 
to 
$29,999 
3 
$30,000 
to 
$44,999 
4 
$45,000 
to 
$59,999 
5 
$60,000 
to 
$74,999 
6 
$75,000 
to 
$89,999 
7 
$90,000 
to 
$104,999 
8 
105,000 
to 
$119,999 
9 
120,000 
and 
over 
Which of the 
following best 
(Circle one) 
1 
Liberal 
2 
Moderate 
-to- 
liberal 
3 
Moderate 
4 
Moderate 
-to- 
conservati 
5 
6 
Conservative 
Don't know 
7. What is YOUR POLITICAL PREFERENCE? (Circle one) 
1 Democrat 
2 Republican 
3 Independent 
4 Other (specify ___ 
5 Don't know 
8. To what RACE or ETHNIC GROUP do you belong? (Circle one) 
1 American Indian or Alaskan Native 
2 Asian or Pacific Islander 
3 African American, not of Hispanic origin 
4 Hispanic 
5 White, not of Hispanic origin 
6 Other (Please specify _ 
9. In general, compared to other persons your age would you say YOUR HEALTH 
is ... (Circle one number) 
Excellent Fair Poor 
1 2 3 4 5 6 7 
10 . 
In general, compared to other persons your age would you say YOUR HAPPINESS 
is ... (Circle one number) 
Very Happy Pretty Happy Not Too Happy 
1 2 3 4 5 6 7 
11. Which of the following best describes YOUR CURRENT LIVING ARRANGEMENTS? 
(Circle one) 
1 Single without dependent children or other relatives 
2 Single with dependent children or other relatives 
3 Couple without dependent children or other relatives 
4 Couple with dependent children or other relatives 
5 Other (Please specify) _ 
12. What did you LIKE MOST about your trip to Dominica? 
13. What did you LIKE LEAST about your trip to Dominica? 
14. What OTHER COMMENTS, if any, would you like to make about your visit to 
Dominica? 
Thank you for taking the time to participate in the survey. 
To return the questionnaire, please fold the back page in half and secure the 
open side with the enclosed sticker. 
No postage is needed. Just drop the questionnaire in any convenient 
United States of America mailbox. 
