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* 1. What is the name of the organization you represent?

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* 2. What is the type of ogranization you represent? Check one that applies.

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* 3. What is your position and/or title?

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* 4. What is your organization's relationship to our agency? Check one that applies:

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* 5. Please list three positive aspects of living in our County:

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* 6. Please list three negative aspects of living in our County:

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* 7. What are the top most pressing needs of the low-income population in our County? Check only three:

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* 8. Which of the following services do not meet the demand in our County? Check only three:

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* 9. Are there any other thoughts or comments you would like to add?  Please indicate them below:

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