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1. Who is completing this survey?

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2. Are you a current BRHA resident over the age of 18? If your answer is "no," please do not complete this survey. This survey is for current, adult BRHA residents only.

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3. ?What is your age range

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4. Are you working?

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5. Do you want to work?

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6. Are you interested in any of the following education opportunities? Check all that apply.

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7. Are you interested in any of the following activities? Please check all that apply.

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8. Do you have transportation?

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9. Do you have reliable childcare?

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10. What other hurdles do you have that make it hard to go to school or work?

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11. What other services would make it easier for you to succeed?

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