1.

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* 1. Do you see people in your agency who have served in the armed services?

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* 2. If yes, have they participated in active service (such as service in Vietnam, Afghanistan or Iraq)?

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* 3. How many ex-service men/women have you seen in the last 6 months?

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* 4. What age were they? (please use numbers)

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* 5. What gender are they?

  1-3 4-6 7+
Male
Female

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* 6. Are the people you see primarily

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* 7. What state are you reporting from?

T