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* 1. Do you identify as LGBTQ?

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* 2. Have you ever been discriminated against because of your sexual orientation?

 

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* 3. Do you believe you have been denied housing due to your sexual orientation?

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* 4. List all places in the Genesee, Saginaw, Midland and Bay counties that you feel you were denied housing:

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* 5. When were you denied housing?

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* 6. Can we contact you for more information?

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