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* 1. In which county do you live or is your organization located?

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* 2. Please indicate your role in our community?

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* 3. Please rank the following in the order in which you feel has a direct impact on poverty in your community. (From 1 to 10)

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* 4. Other cause(s) of poverty

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* 5. Has there been a time in the last year that you or someone in your immediate family (check all that apply):

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