How to create question $9$ of Wendys survey in Qualtrics?

Wendy's

As head of the household, please answer the following questions about you and your household. $[$Check only one for each item.$]$

a$.$ What is your gender?

Male

Female

b$.$ What is your marital status? Single

Married

Other $($widowed$,$ divorced, etc.$)$

c$.$ How many children under age $18$ live in your home? $0$

$1$

$2$

$3$ or more

d$.$ What is your age?

Under $25$

$25-44$

$45$ or older

e$.$ What is your total annual individual or household income?

Less than $$15,000$ $$15,000-49,000$

Over $$49,000$