Please answer a few simple questions

1. How many people live in your household?   ?

(Include anyone who you buy and make food with.)

2. How many people in your household are under age 18?  

3. What is your household's total monthly income before taxes?  

e.g. Wages, Social Security benefits, SSI or SSD, Unemployment, Child Support

Need help? Feel free to use this calculator

4. Is anyone in your household 60 years of age or older?  


5. Is anyone in your household disabled?   ?


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