Please answer the following questions to help us understand your legal needs.

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* 1. Please look at the following list of problems and check if you or someone you know experienced that specific problem in the last 12 months.

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* 2. If you answered checked off any of the above, please describe:

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* 3. Was legal help sought out for these problems?

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* 4. Please select the top 5 legal problems that you think low income individuals and families face.

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* 5. Have there been other times during the past year that you thought you might need a lawyer, but didn’t get help from one?

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* 6. What has prevented you or someone you know from seeking out legal assistance for the problem?

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* 7. What specific suggestions or ideas do you have to make it easier to access legal help?

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* 8. At Florida Rural Legal Services, our current service priorities are housing stabilization, income maintenance, education, family law, and helping individuals get back into the work force through driver’s license restoration and expungement and sealing of criminal records.  We also have a focus on senior issues helping them with end of life planning and managing the legal issues specific to their community like Medicaid eligibility and senior exploitation.  As the pandemic spreads, thousand of low income families and seniors are going to need help, not just with medical issues, but also with legal issues.  Can you identify the pressing issues affecting your community during this crisis?

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* 9. Do you feel our current priorities are going to meet the needs of the communities you serve? Why or Why not?

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* 10. What County do you live in?

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* 11. What is your race?

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* 12. What is your Gender?

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* 13. What is your age?

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* 14. What is your annual household income?

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