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* 1. What support does your family need during the summer months? Select all that apply.

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* 2. What would you say is the biggest support need for your family during this time?

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* 3. Please let us know what types of programs your family is comfortable attending by checking the boxes below.

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* 4. The government and Region of Waterloo Public Health will provide health and safety measures that must be followed during any summer programming. Knowing that these safety measures are in place, is your family:

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* 5. During your time social distancing, what has been the biggest positive change for you as a family? Is this something that you will continue to do once restrictions are lifted?

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* 6. What other information or suggestions would you like to share with us?

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