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COLA helps to maintain purchasing power so members can purchase about the same level of goods and services overseas as in the United States. This survey is designed to identify where and how you purchase goods and services. The information obtained from this survey is used in planning and completing a separate Retail Price Report that forms the basis for prescribing your COLA. You will not need to report on overall costs in this survey as the costs will be reviewed in the Retail Price Report. Time to complete Please take about 30 minutes to complete this survey. Please answer all of the questions. If typical shopping locations are not listed for a category. All of the requested information is necessary to compute a cost-of-living index for your location. Who should report? You should complete this form if you are a Service member who is assigned to and has lived at this location for 3 months or more and do not live in barracks, dormitory or aboard ship. Other survey takers will not have their information gathered as their experience will not reflect the shopping habits of the typical military personnel at the duty station. How many family members live with you? Select your branch of service. Select your pay grade. How many months have you been at this duty station? Where do you reside? Please answer question GenInfo How many family members live with you? Your answer to question GenInfo How many family members live with you? Your numeric answer for question GenInfo How many family members live with you? Please answer question GenInfo Select your branch of service. Please answer question GenInfo Select your pay grade. Please answer question GenInfo How many months have you been at this duty station? Your answer to question GenInfo How many months have you been at this duty station? Your numeric answer for question GenInfo How many months have you been at this duty station? Please answer question GenInfo Where do you reside? Yes No. Please answer question Commissaries before continuing. Primary Commissary. Alternate Commissary. Please answer question Commissary Locations Primary Commissary before continuing. Please answer question Commissary Locations Alternate Commissary before continuing. Please answer question Exchanges before continuing. Primary Exchange. Alternate Exchange. Please answer question Exchange Locations Primary Exchange before continuing. Please answer question Exchange Locations Alternate Exchange before continuing. Part 1. General Information. Do you use commissaries for any purchases? Yes No Please answer question Commissaries before continuing. Enter the location s of the Commissary. Do you use exchanges for any purchases? Yes No Please answer question Exchanges before continuing. Enter the location s of the Exchange.

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