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* 1. Are you aware of the services and programs the Bloomfield Department of  
Health and Human services offers?

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* 2. How many services or programs offered by BDHHS have you participated in
within the last 3 Months?

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* 3. Is BDHHS doing well at addressing Bloomfield's health concerns with the
programs and services it is currently offering?

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* 4. If you answered NO to question 3, please explain further.

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* 5. Are you a Bloomfield Resident ?

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