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* 1. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 2. Have you receive any Foreclosure Prevention Information?

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* 3. Where did you receive this information from? Check all that
apply.

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* 4. If you received this information was it easy to understand?

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* 5. Do you think the services provided could be helpful?

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* 6. Prior to receiving any Foreclosure Prevention Information, were you aware of any of these services?

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* 7. Would you recommend these services to others?

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* 8. Do you have any other comments, questions, or concerns?

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