CRDP Stakeholder Survey

Background

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* 1. Please enter your name

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* 2. Please enter your email

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* 3. Please enter your 10-digit phone number

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* 4. Which population hub does your work focus on? (check all that apply)

African American

API

Latinx

LGBTQ+

Native American

N/A (not applicable)

Other (please specify)

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* 5.
Please refer to the image below to answer: What geographic area do you serve? (Select all that apply)

Bay Area Counties

Central Counties

Los Angeles Counties

Southern Counties

Superior Counties

N/A (not applicable)

Please list the counties you serve (write N/A if not applicable)

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* 6. Are you currently involved in CRDP Phase II Extension?

Yes

No