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* 1. How did you find out about NEK-CAP, Inc?

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* 2. What County you reside in?

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* 3. What type of services did you seek at NEK-CAP, Inc. when you applied? (mark all that applied) 

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* 4. Did you find this online application easy to use?

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* 5. NEK-CAP, Inc. was unable to meet my needs? 

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* 6. I would recommend NEK-CAP, Inc. to others? 

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