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MA Essentials for Childhood (Community)
Introduction
Thank you for participating in our survey. Your feedback is important.
*
1.
How many children live in your household?
(Required.)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
*
2.
This past year, was there a child under the age of 5 in your home or do you care for children under age 5 at least once a week?
(Required.)
YES
NO