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* 1. What is your current zip code?

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* 2. Do you live or work in Superior? (please select all that apply)

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* 3. What race do you identify with?

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* 4. Do you identify as Hispanic or Latino?

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* 5. What is your age?

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* 6. Are you a person living with a disability?

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* 7. What is your annual household income?

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* 8. Do you have internet at your place of residence?

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* 9. If you have internet in your home, please specify what type of internet.

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* 10. What do you believe are the greatest housing needs in Superior?

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* 11. Including special services, community facilities and infrastructure, what do you believe are the greatest non-housing needs in Superior?

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* 12. Additional Comments:

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