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Measure X Youth Centers Questionnaire

1.Which age range do you fall under?
2.Are you a Contra Costa County resident?(Required.)
3.In which part of the county do you reside?(Required.)
4.Which category best describes you? Select all that apply.(Required.)
5.Do you have questions about the Youth Centers? If yes, please list up to three
6.If yes, please provide your name, phone number, and email address below.