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* 1. Do you think Northampton County should have a Senior Center?

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* 2. Did you or someone you know frequently visit the J.W. Faison Senior Center?

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* 3. If a new Senior Center is established in Northampton County, will you or someone you know frequently visit and participate in the services/activities offered?

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* 4. What services would you like to see offered at the Senior Center? (Check all that apply.)

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* 5. What is your age?

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* 6. Which gender best describes you? (Please choose only one.)

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* 7. Which race/ethnicity best describes you? (Please choose only one.)

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* 8. What is your town of residence?

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