Demographic Information (Section A) 

What was your total annual household income last year? Include income for all persons 18 and over.

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* 1. What was your total annual household income last year? Include income for all persons 18 and over.

How many people in the household?

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* 2. How many people in the household?

Please provide zip code information for before the 2017 October Fires and now.

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* 3. Please provide zip code information for before the 2017 October Fires and now.

Was your home/residence or contents damaged or destroyed by the wildfires in Napa County?

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* 4. Was your home/residence or contents damaged or destroyed by the wildfires in Napa County?

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