Fifteen counties in the state of California were selected by creating three groups. The groupings pertain to the Mean Family Income, and were organized into goups of under fifty thousand, fifty thousand to eighty thousand, and over eighty thousand. All fifty eight counties of California were placed into one of these three income level groups. After the counties were placed into one of the groups, five counties from each group were randomly selected. For the under fifty thousand groups, Tulare, Siskiyou, Modoc, Imperial, and Yuba were the counties selected. In the fifty thousand to eighty thousand group, the counties selected were Sacramento, San Diego, Los Angeles, Fresno, and Riverside. Lastly, for over eighty thousand, Orange, Alameda, Contra Costa, Marin, and Santa Clara were selected for this study.