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General Information

All information is confidential and only utilized for assessing programming and services provided. Thank you for taking the time to fill out our survey. We rely on your feedback to help us improve our services. Your input is greatly appreciated. 

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* 1. Date/Time


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* 2. How long have you been receiving services from Mineral Area CPRC Inc.? 

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* 3. What services have you received from Mineral Area CPRC Inc. in the past 12 months? Check all that apply.

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