Household Information

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Information about Yourself

What is your ZIP Code?

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Where are you using Arizona Self Help from?

How did you hear about Arizona Self Help?

Other Household Members

Do you have a spouse that lives with you?

* How many of your and/or your spouse's children under 18 live with you?

* How many other children under 18 live with you?

* How many other adults, age 18 or older, live with you?

Note: Include all children 18 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. You do not need to be a citizen to qualify for benefits. The administrators for this website do not collect or report data if you answer "No".

Does everyone in your household share food?

Does anyone in your household have a disability or is anyone blind?

Is anyone in the household attending, or planning to attend, a college or university this year or next?

* Required Question

SNAP Questions

Did You Know?

Arizona Self Help never asks for confidential or identifying information. We ask about U.S. Citizenship so we know whether or not to screen your household for certain programs which may require citizenship for all members. We never report or share this information.