The Crucible Community - Winter 2009

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Welcome to The Crucible's Winter 2009 Community Survey.


Thanks for taking our survey. The information you provide helps us qualify for grants and funding, and to understand and serve your needs.

1. What is your relationship to The Crucible?
2. What is your gender?
3. What is your highest education level?
4. What is your current employment status?
5. What is the year of your birth?
6. What is your 5 digit zip code?
7. How many people are in your household?
8. Do you own or rent your primary residence?
9. What is your household income? (Optional)
10. What is your ethnicity? (Optional)

We would like to offer our thanks for your willingness to help make The Crucible even better.
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