From the office of Representative Alex Ramel

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* 1. What is your name?

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* 2. What is your zip code?

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* 3. In the last 12 months, by what percentage has your rent increased? (Slide to 0 if your rent has not increased. Slide to 100 if it has doubled or more than doubled).

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i We adjusted the number you entered based on the slider’s scale.

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* 4. "What percentage of your total household income is spent on rent?

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i We adjusted the number you entered based on the slider’s scale.

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* 5. What is your experience as a renter? Tell us your story!

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* 6. Can Rep. Ramel share your story with fellow legislators and his subscribers (all identifying information will be removed)?

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