GENERAL INFORMATION

* 1. What age group do you belong to?

* 2. What is your gender?

* 3. How may people are in your family, or reside within your home?

* 4. Do you currently live in Greencastle?

* 5. If no, do you currently live in Putnam County?

* 6. How long have you lived in Greencastle or Putnam County?

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