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* 1. What is your Gender?

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* 2. Where do you live?

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* 3. How long have you lived in Claresholm, Granum, Stavely or M.D of Willow Creek?

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* 4. What is your age group?

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* 5. We value all people! Select all that apply to you. 

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* 6. What is the highest level of education you have received?

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* 7. What is your employment status?

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* 8. If unemployed, are you currently looking for work? 

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* 9. How much longer do you plan on residing here in Claresholm, Granum, Stavely or M.D of Willow Creek?

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* 10. What is your housing status?

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* 11. Of all of the purchases your household makes, how many of them do you make in Claresholm?

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* 12. Do you have access to affordable, healthy food?

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* 13. Do you know about the Good Food Box Program?

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* 14. If you have children, who is your child/children's primary caregiver?

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* 15. Do you own a vehicle?

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* 16. If not, do you have access to transportation in Claresholm?

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* 17. Do you know your neighbors?

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* 18. Do you have strong social connections in Claresholm?

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* 19. Do you access programming offered by FCSS?

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* 20. What FCSS affiliated and/or funded programs have you accessed in the last year? Check all that apply.

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* 21. Which of the following partnering agencies are you aware of that provide service in Claresholm?

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* 22. What is the best platform for you to learn about programs/events? Check all that apply. 

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* 23. Are you in need of help with any of the following? Check all that apply.

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* 24. Do you volunteer in your community?

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* 25. Would you like to help with any of these volunteer opportunities? Check all that apply. 

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* 26. How important are employment opportunities for adults in your community? 

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* 27. How satisfied are you with the employment opportunities available for adults in your community?

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* 28. How important are employment opportunities for youth in your community?

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* 29. How satisfied are you with the employment opportunities for youth?

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* 30. How important is access to affordable housing to you?

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* 31. How satisfied are you with affordable housing options in your community?

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* 32. How important is access to grocery options in your community?

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* 33. How satisfied are you with grocery options in your community?

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* 34. How important is access to quality child care in your community?

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* 35. How satisfied are you with the quality of child care in your community?

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* 36. How important is access to affordable child care in your community?

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* 37. How satisfied are you with affordable child care in your community?

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* 38. How important is after school care in your community?

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* 39. How satisfied are you with after school care in your community?

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* 40. How important are supervised youth activities in your community?

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* 41. How satisfied are you with supervised youth activities in your community?

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* 42. How important is adequate transportation in your community?

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* 43. How satisfied are you with adequate transportation in your community?

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* 44. How important is affordable transportation in your community?

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* 45. How satisfied are you with affordable transportation in your community?

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* 46. How important is access to town or MD information and resources in your community?

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* 47. How satisfied are you with access to town or MD information in your community?

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* 48. How important are the availability of town and MD resources and services in your community?

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* 49. How satisfied are you with the availability of Town and/or MD resources and services in your community?

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* 50. How important are parks and recreation facilities in your community?

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* 51. How satisfied are you with the parks and recreation in your community?

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* 52. How important are services offered for adults in your community?

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* 53. How satisfied are you with services offered for adults in your community?

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* 54. How important are services offered for youth in your community?

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* 55. How satisfied are you with services offered for youth in your community?

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* 56. Please let us know of any solutions or suggestions you may have for creating YOUR Claresholm.

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