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Thank you for taking the Taney County Community Survey. Your responses help the Taney County Health Department (TCHD) make decisions about future health programs and offerings for the community. Your answers are kept private. No one will know how you answered except for you. Please be as honest and detailed as you are able.

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* 1. What is your ZIP code? (Answer in the box below).

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* 2. How long have you lived in Taney County?

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* 3. Which of the following are true for you? (Choose all that are true).

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* 4. What is your race or ethnicity? (Choose all that are true).

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* 5. What is your gender?

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* 6. What language(s) do you speak at home? (Choose all that are true).

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* 7. What is your highest school level?

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* 8. What is your age?

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