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* 1. What do you most like about your Community?

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* 2. What concerns you most about your Community?

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* 3. What could help make your Community better?

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* 4. How have local services benefited you?

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* 5. What other local services are needed?

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* 6. Which Municipality do you reside in when in Central Hastings County? (Check ONE only).

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* 7. Are you a permanent, seasonal or occasional resident? (Check ONE only)

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* 8. How old are you?

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* 9. What is your gender identity? (Check ONE only)

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* 10. What is your sexual orientation? (Check ONE only)

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* 11. Do you self-identify as an Indigneous person?

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* 12. What is your main ethnic or cultural background?

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* 13. Do you live with any of the following? (Check ALL that apply)

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* 14. What type of housing do you occupy in Central Hastings? (Check AS MANY as apply)

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* 15. What is your family make up?

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* 16. About what was your family's total income before taxes last year?  (Check ONE only)

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* 17. About how many people does this income support? (Please indicate number)

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* 18. What is the highest level of education you completed?  (Check ONE only)

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