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* 1. Are you aware that the Rochester Public Library has a Wellness Corner?

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* 2. Have you utilized services from the Wellness Corner? Please check all that apply.

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* 3. What services might you use if they were offered by a professional (such as a Social Worker, Public Health Nurse, etc.) at the library? Please select all that apply.

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* 4. Please check all the reasons why you might ask questions of a nurse or social worker if they were at the library.

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* 5. How often do you visit the Rochester Public Library?

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* 6. Which dates and times do you typically visit the library? Please select all the times and dates that apply.

  Time
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

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* 7. With which gender do you identify?

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* 8. Which of the following best describes your race or ethnic origin?

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* 9. Which range best describes your annual household income before taxes?

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* 10. What is the highest level of education you have completed?

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* 11. Which of the following age groups do you belong to?

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