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* 1. Do you live in DuPage County?

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* 2. What is your household's zip code?

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* 3. What is your gender?

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* 4. What is your age range?

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* 5. EMPLOYMENT: What do you or a family member need help with (select all that apply)...

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* 6. EDUCATION: What do you or a family member need help with (select all that apply)...

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* 7. FINANCIAL AND LEGAL ISSUES: What do you or a family member need help with (select all that apply)...

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* 8. HOUSING: What do you or a family member need help with (select all that apply)...

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* 9. FOOD AND NUTRITION: What do you or a family member need help with (select all that apply)...

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* 10. BASIC NEEDS: What do you or a family member need help with (select all that apply)...

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* 11. CHILD CARE AND CHILD DEVELOPMENT: What do you or your family need help with (select all that apply)...

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* 12. ´╗┐PARENTING AND FAMILY SUPPORT: ´╗┐What could you or your family use help with (select all that apply)...

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* 13. TRANSPORTATION: Which transportation needs could you or your family use help with (select all that apply)...

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* 14. HEALTH: Which health needs could you or a family member use help with (select all that apply)...

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* 15. Are there needs that you or your family faced within the last 12 months that you were unable to get help with?

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* 16. What is ONE thing you would like to see improved in your neighborhood?

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