25% of survey complete.

* 1. What is your name?

* 2. What is your street address?

* 3. What is your e-mail address? (For verification purposes only)

* 4. Which category below includes your age?

* 5. Are you male or female?

* 6. How many children age 17 or younger live in your household?

* 7. Do you live within the White Hall city limits?

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