1. Community Needs Assessment

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* What is your age?

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* In what zip code do you live?

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* Which of the following best describes your race/ethnicity? You can choose more than one of them.

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* What is your gender?   

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* How many people over 18 years of age, including you, are currently living in the household?

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* Do you have any children less than 18 years of age who are currently living in the household?

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