| TAB 2: GQ CLIENT DATA |
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| GQ Name |
The actual building that hosts the residents or clients |
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| First Name |
First name of person living or staying in this GQ on Census Day (April 1, 2018) |
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| Middle Name |
Middle name or initial of person living or staying in this GQ on Census Day (April 1, 2018) |
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| Last Name(s) |
Last name(s) of person living or staying in this GQ on Census Day (April 1, 2018). [Note: If person uses "Junior" or "Senior" in their name, enter the last name and the suffix (for example: Smith Junior) in the Last Name(s) field.] |
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| Sex |
What is this person's sex? (Male/ Female) [Note: Please report the person's biological sex as Male or Female. If this information is not available, please leave the field blank.] |
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| Age on Census Day |
What was this person's age (in years) on Census Day (April 1, 2018) [Note: Enter correct age as of April 1, 2018. For babies less than 1 year old, do not enter the age in months. Enter 0 as the age. Do not round the age up if the person was close to having a birthday on April 1, 2018. If you do not know the exact age, please estimate.] |
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Race and Detail |
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| Date of Birth |
What is this person's date of birth? (MM/DD/YYYY) |
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Race |
Detail |
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| Race or Ethnicity Category |
What is this person's race or ethnicity category -- Enter all that apply (Refer to descriptions provided in boxes labeled "Race and Detail") |
à |
White |
German, Irish, English, Italian, Polish, French, etc. |
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| Race or Ethnicity Detail |
What is this person's race or ethnicity detail -- Enter all that apply (Refer to descriptions provided in boxes labeled "Race and Detail") |
à |
Hispanic, Latino, or Spanish |
Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc. |
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| Live or Stay at GQ Most of Time |
Does the person live or stay at this GQ most of the time? (Yes or No) |
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Black or African American |
African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc. |
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| Alternate Address: Street Number |
Street number of another place where person sometimes lives or stays when not at this GQ. [Note: If person never stays at any place other than this GQ, leave the Alternate Address blank. If person has more than one alternate address, enter the address of the place where they live or stay more often.] |
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Asian |
Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc. |
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| Alternate Address: Street Name |
Street name of another place where person sometimes lives or stays when not at this GQ. |
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American Indian or Alaska Native |
Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Tlingit, etc. |
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| Alternate Address: Apt / Unit |
Apartment or Unit (if applicable) of another place where person sometimes lives or stays when not at this GQ. |
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Middle Eastern or North African |
Lebanese, Iranian, Egyptian, Syrian, Moroccan, Israeli, etc. |
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| Alternate Address: Rural Route Address |
Rural Route address (if applicable, and no street address is available) of another place where person sometimes lives or stays when not at this GQ. |
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Native Hawaiian or Other Pacific Islander |
Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc. |
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| Alternate Address: City |
City of another place where person sometimes lives or stays when not at this GQ. |
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| Alternate Address: State |
State of another place where person sometimes lives or stays when not at this GQ. |
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| Alternate Address: ZIP Code |
ZIP Code of another place where person sometimes lives or stays when not at this GQ. |
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