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1. Homelessness has a negative impact on my business. (Required.)

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2. How has homelessness impacted your business? Check all that apply.

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3. Which of the following resources have you utilized in response to homelessness? Check all that apply.

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4. Which of these community initiatives to address homelessness are you aware of? Check all that apply.

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5. What would help you respond to homelessness in our community?

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6. What other questions or comments do you have regarding homelessness in our community?

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7. Which description best fits your physical place of business? (Required.)

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8. ZIP code where your business is located: (Required.)

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